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NCLEX RN Nursing Exam Questions

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Question 1 of 5

Which nursing intervention would be of highest priority when caring for a patient admitted in sickle cell vaso-occlusive crisis?

Correct Answer: D

Rationale: In sickle cell vaso-occlusive crisis severe pain results from blocked blood vessels. Administering pain medication is the highest priority to relieve acute discomfort and improve patient comfort. While IV fluids and oxygen are important pain management is the most urgent need.

Question 2 of 5

A burn client's care plan reveals an expected outcome of no localized or systemic infection. Which assessment by the nurse supports this outcome?

Correct Answer: A

Rationale: Minimal bacteria in wound cultures indicates no localized infection, supporting the outcome. Cloudy urine (
B), elevated WBC (
C), and fever (
D) suggest possible infection.

Question 3 of 5

The nurse is explaining to an adult client with an ulcer diagnosis about the drug esomeprazole (Nexium). Which side effect(s) will the nurse want to include in the discussion?

Question Image

Correct Answer: A, B, D, E

Rationale: Esomeprazole side effects include headache (
A), diarrhea (
B), dizziness (
D), and nausea (E). Flushing (
C) is not a common side effect.

Question 4 of 5

A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

Correct Answer: D

Rationale: HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelets) is characterized by elevated liver enzymes reflecting liver damage. Platelet counts are low not elevated and blood glucose and creatinine clearance are not primary features.

Question 5 of 5

The client with a history of seizures is prescribed phenytoin (Dilantin). Which instruction should the nurse include in the teaching plan?

Correct Answer: B

Rationale: Alcohol can interact with phenytoin, increasing toxicity or reducing efficacy, so it should be avoided. Milk does not prevent GI upset, stopping medication requires physician guidance, and extra doses are dangerous.

Similar Questions

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The nurse is teaching a client with a history of GERD about dietary modifications. The nurse should tell the client to avoid:
Upon admission to the hospital, a client reports having "the worst headache I've ever had." The nurse should give the highest priority to which action?

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