Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

Which of the following assessment finding is expected in a client with bacterial pneumonia?

Correct Answer: A

Rationale: Increased fremitus is expected in bacterial pneumonia due to lung consolidation.

Question 2 of 5

A client has been diagnosed with atrial fibrillation. The physician ordered warfarin (Coumadin) to be taken on a daily basis. The nurse instructs the client to avoid using which of the following over-the-counter medications while taking warfarin?

Correct Answer: A

Rationale: Aspirin increases bleeding risk when taken with warfarin, a blood thinner, and should be avoided. Other listed medications have less significant interactions with warfarin.

Question 3 of 5

The nurse assists the physician in inserting a temporary pacemaker into the client. After the procedure, the nurse should verify that which of the following has been documented?

Correct Answer: D

Rationale: Documenting the pacemaker rate, type, and settings is critical to ensure proper function and patient safety post-procedure. While cardiovascular status and sedation are important, the pacemaker specifics are the priority for verification.

Question 4 of 5

A client has a total hip replacement. Which of the following client statements indicates a need for further teaching before discharge?

Correct Answer: D

Rationale: Tub baths are contraindicated post-hip replacement due to the risk of hip flexion beyond 90 degrees, indicating a need for further teaching.

Question 5 of 5

A client is receiving total parenteral nutrition (TPN). The nurse notices that the bag of TPN solution has been infusing for 24 hours but has $300 \mathrm{~mL}$ of solution left. The nurse should:

Correct Answer: D

Rationale: TPN solutions should not hang for more than 24 hours due to infection risk. The nurse should discontinue the current bag, change the tubing, and hang a new bag. Continuing or altering the rate is unsafe.

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