Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse is preparing the client for surgery. The pre-op medication includes atropine sulfate 0.4 mg, meperidine (Demerol HCl) 50 mg, and promethazine hydrochloride (Phenergan) 25 mg IM. Which action should the nurse do first?

Correct Answer: A

Rationale: Ensuring the surgical permit is signed is the priority to confirm informed consent before administering preoperative medications.

Question 2 of 5

A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

Correct Answer: D

Rationale: A high-calorie, high-protein, low-fat diet helps maintain weight and muscle mass in clients with AIDS while minimizing gastrointestinal complications.

Question 3 of 5

A client's lab results have just come in. The nurse reviews the electrolytes and contacts the health care provider regarding which result?

Correct Answer: A

Rationale: Chloride 167 mEq/L is severely elevated (normal 98-106 mEq/L), requiring immediate attention. Other values are normal.

Question 4 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 5 of 5

A client is admitted for an CAT scan. The nurse should question the client regarding:

Correct Answer: A

Rationale: Pregnancy is a contraindication for a CAT scan due to radiation risks to the fetus.

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