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NCLEX Practice Questions

1. A client with heart failure has crackles in both lung bases and pitting edema. Which medication should the nurse anticipate administering first?

Furosemide 40 mg IV
Digoxin 0.25 mg PO
Enalapril 5 mg PO
Metoprolol 25 mg PO

Correct Answer: A
Rationale: Furosemide is a loop diuretic that provides rapid fluid reduction. IV administration is appropriate for acute symptoms like pulmonary edema and significant peripheral edema.

2. A postpartum client reports perineal pain. On assessment, the nurse finds a tender, hardened area in the right breast. Which action should the nurse take first?

Apply warm compresses to the breast
Encourage frequent breastfeeding
Administer prescribed acetaminophen
Teach breast massage techniques

Correct Answer: B
Rationale: Frequent milk removal is the primary intervention for engorgement and blocked ducts. Emptying the breast reduces stasis and inflammation.

3. A diabetic client has a blood glucose of 52 mg/dL. The client is conscious but confused. Which intervention should the nurse implement immediately?

Administer 1 mg glucagon IM
Provide 4 oz fruit juice orally
Give 50% dextrose IV push
Offer complex carbohydrates

Correct Answer: B
Rationale: Conscious patients with hypoglycemia should receive 15-20g fast-acting carbohydrates (like fruit juice) initially. IV dextrose is reserved for unconscious patients.