Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions with Detailed Explanations Questions

Extract:


Question 1 of 5

While assessing the psychosocial aspects of a primigravid client at 30 weeks' gestation, which of the following feelings are expected?

Correct Answer: C

Rationale: Ambivalence is common in pregnancy, reflecting mixed emotions about impending motherhood and life changes.

Question 2 of 5

Prior to administering plasminogen activator (t-PA) to a client admitted with a stroke, the nurse should verify that the client: Select all that apply.

Correct Answer: C, D

Rationale: t-PA requires normal blood pressure and no active bleeding to minimize complications like hemorrhage.

Question 3 of 5

A male client has been diagnosed as having a low sperm count during infertility studies. After instructions by the nurse about some causes of low sperm counts, the nurse determines that the client needs further instructions when he says low sperm counts may be caused by which of the following?

Correct Answer: D

Rationale: Decreased body temperature is not a cause of low sperm count; elevated temperatures, such as from saunas, can impair spermatogenesis, indicating a need for further teaching.

Question 4 of 5

The nurse is assessing a client with a suspected gastrointestinal bleed. Which of the following findings is most indicative of this condition?

Correct Answer: B

Rationale: Hypotension is a critical sign of a gastrointestinal bleed due to significant blood loss.

Question 5 of 5

The nurse is caring for a client in labor who has butorphanol tartrate prescribed for the relief of labor pain. During the administration of the medication, the nurse should ensure that which priority item is readily available?

Correct Answer: A

Rationale: Butorphanol tartrate is an opioid analgesic that provides systemic pain relief during labor. The nurse should ensure that naloxone and resuscitation equipment are readily available to treat respiratory depression, should it occur. Meperidine hydrochloride is also an opioid analgesic that may be used for pain relief, but it also causes respiratory depression. Although an antiemetic may be prescribed for vomiting, antiemetics may enhance the respiratory depressant effects of the butorphanol tartrate. Although an IV access is desirable, the administration of normal saline is unrelated to the administration of this medication.

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