NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

Which task is included in the working phase of the nurse-client relationship?

Correct Answer: C

Rationale: The working phase involves evaluating progress toward goals, building on strengths identified earlier.

Question 2 of 5

A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?

Correct Answer: B

Rationale: narcotic analgesic, causes CNS and respiratory depression, contraindicated in head injury because it masks signs of increased intracranial pressure

Question 3 of 5

The nurse recognizes all of the following as common physical characteristics of a child with Down syndrome EXCEPT

Correct Answer: D

Rationale: Down syndrome features include small, low-set ears, downward slanting eyes, and hyperflexibility. An enlarged tongue (macroglossia) is less common or not a hallmark feature.

Question 4 of 5

A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect?

Correct Answer: B

Rationale: Desmopressin increases water reabsorption, concentrating urine; a urine specific gravity of 1.020 indicates effective treatment.

Question 5 of 5

The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

Correct Answer: B

Rationale: Suspected falsification of records warrants a formal reprimand and investigation, but immediate termination or legal action requires further evidence.

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