Questions 150

NCLEX-RN

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Question 1 of 5

Which lipid level would you report to the doctor because it is not normal and it is also a significant change in the client?

Correct Answer: D

Rationale: LDL of 955 mg/dL is extremely high (normal <130 mg/dL), indicating a significant risk for cardiovascular disease and requiring immediate reporting.

Question 2 of 5

Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?

Correct Answer: A

Rationale: Both restraints and urinary catheters can lead to infections restraints via skin breakdown and catheters via urinary tract infections if not properly managed.

Question 3 of 5

A client with a history of cirrhosis is admitted with esophageal varices. The nurse should monitor the client for which of the following complications?

Correct Answer: A, B

Rationale: Esophageal varices can rupture, causing hematemesis and hypotension.

Question 4 of 5

Select the types and stages of conflict that are accurately paired with their description. Select all that apply.

Correct Answer: B,D,F,G

Rationale: Conceptualization is correctly described as understanding the conflict's nature. Resolution refers to conflicts that can be resolved. Approach-Approach (F) involves choosing between desirable alternatives, and Approach-Avoidance (G) involves alternatives with both positive and negative aspects. Frustration is not about personal agendas but emotional responses, Taking action involves implementing solutions, not just feelings, and Avoidance-Avoidance is a type, not a stage, of conflict.

Question 5 of 5

When a client states that he is allergic to amoxicillin (Ampicillin) even though his medication administration record and armband do not indicate medication allergies, the nurse should:

Correct Answer: B

Rationale: Withholding the medication is the safest action until the allergy can be verified to prevent an allergic reaction.

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