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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 65 )

Updated On: 25-Jan-2026
Page 65 of 345
PDF with 862 Questions

Which of the following should be included in discharge teaching for a client with hepatitis C?

  1. He should take aspirin as needed for muscle and joint pain.
  2. He may become a blood donor when his liver enzymes return to normal.
  3. He should avoid alcoholic beverages during his recovery period.
  4. He should use disposable dishes for eating and drinking.

Answer(s): C

Explanation:

(A) Aspirin is hepatotoxic, may increase bleeding, and should be avoided. (B) Blood should not be donated by a client who has had hepatitis C because of the possibility of transmission of disease. (C) Alcohol is detoxified in the liver. (D) Hepatitis C is not spread through the oral route.



Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

  1. Elevated central venous pressure and peripheral edema
  2. Dyspnea and jaundice
  3. Hypotension and hepatomegaly
  4. Decreased peripheral perfusion and rales

Answer(s): D

Explanation:

(A, B, C) Clinical manifestations of right-sided heart failure are weakness, peripheral edema, jugular venous distention, hepatomegaly, jaundice, and elevated central venous pressure. (D) Clinical manifestations of left-sided heart failure are left ventricular dysfunction, decreased cardiac output, hypotension, and the backward failure as a result of increased left atrium and pulmonary artery pressures, pulmonary edema, and rales.



The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

  1. Neosporin sulfate
  2. Mafenide acetate
  3. Silver sulfadiazine
  4. Povidone-iodine

Answer(s): B

Explanation:

(A) The side effects of neomycin sulfate include rash, urticaria, nephrotoxicity, and ototoxicity. (B) The side effects of mafenide acetate include bone marrow suppression, hemolytic anemia, eosinophilia, and metabolic acidosis. The hyperventilation is a compensatory response to the metabolic acidosis. (C) The side effects of silver sulfadiazine include rash, itching, leukopenia, and decreased renal function. (D) The primary side effect of povidone- iodine is decreased renal function.



The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

  1. Exercise should be performed 30 minutes before meals.
  2. A snack may be needed before and/or during exercise.
  3. Hyperglycemia may occur 2­4 hours after exercise.
  4. The blood glucose level should be 100 mg or below before exercise is begun.

Answer(s): B

Explanation:

(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.



Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

  1. Playing cards with other clients
  2. Working crossword puzzles
  3. Playing tennis with a staff member
  4. Sewing beads on a leather belt

Answer(s): C

Explanation:

(A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the client's attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.



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