NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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NCLEX RN Practice Exam Questions

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Question 1 of 5

Which of the following are controlled substances (Schedules I through V) regulated by the Drug Enforcement Agency (DEA)? Select all that apply.

Correct Answer: A,D

Rationale: Codeine (
A) and hydrocodone (
D) are DEA-controlled substances (Schedules II-V). Ibuprofen (
B) and diphenhydramine (
C) are not controlled.

Question 2 of 5

A postoperative client whose oxygen saturation has been stable at 96% to 98% suddenly shows a drop to 80%. What initial response is most indicated?

Correct Answer: C

Rationale: Assessing and repositioning the pulse oximeter (
C) checks for false readings first. Oxygen (
B), notifying physician (
A), or ABGs (
D) follow if needed.

Question 3 of 5

The nurse is working with a client in the psychiatric unit. The client has memory gaps, which she fills in with detailed fantasies that she believes to be true. The nurse understands that the client is exhibiting which type of abnormal thought process?

Correct Answer: B

Rationale: Confabulation involves filling memory gaps with fabricated details believed to be true, common in certain psychiatric or neurological conditions.

Question 4 of 5

A client is hospitalized with an acute myocardial infarction. Which nursing diagnosis reflects an understanding of the cause of acute myocardial infarction?

Correct Answer: B

Rationale: Impaired tissue perfusion due to coronary occlusion is the primary cause of acute myocardial infarction.

Question 5 of 5

The nurse is seeing a client and her 11-month-old baby in the clinic for a wellness checkup. Which comment by the mother would prompt the nurse to notify the health care provider?

Correct Answer: D

Rationale: Lack of crawling at 11 months may indicate developmental delay, requiring provider evaluation. Other behaviors are age-appropriate.

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