NCLEX Questions, Free NCLEX RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

Which person is at greatest risk for developing Lyme's disease?

Correct Answer: D

Rationale: Landscapers are at higher risk for Lyme disease due to frequent exposure to tick-infested outdoor environments, where the disease is transmitted.

Question 2 of 5

The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse's action should be to:

Correct Answer: B

Rationale: Hypotension and unresponsiveness suggest hypovolemia or shock, so increasing the normal saline infusion is the initial action to restore volume.

Question 3 of 5

A 65-year-old client who recently retired from many years of working full-time for a company has become increasingly unmotivated and states he feels as though he has no purpose. Which of the following recommendations are most appropriate? Select all that apply.

Correct Answer: A,B,C

Rationale: Volunteering/part-time work (
A), community activities (
B), and senior groups (
C) provide purpose. Gratitude (
D) is dismissive, and reversing retirement (E) is impractical.

Question 4 of 5

The nurse is caring for a client receiving Capoten (captopril). The nurse should be alert for adverse reactions to the drug, which include:

Correct Answer: C

Rationale: Captopril, an ACE inhibitor, can cause agranulocytosis, leading to a decreased white cell count, which should be monitored.

Question 5 of 5

A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client's cervix is 5cm dilated with 75% effacement. Based on the nurse's assessment the client is in which phase of labor?

Correct Answer: A

Rationale: A cervix dilated to 5 cm with 75% effacement indicates the active phase of labor.

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