NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

A 15-year-old client has just been diagnosed as having infectious mononucleosis. He asks how he contracted the disease. Which action reported in his history is most likely related to developing infectious mononucleosis?

Correct Answer: D

Rationale: Infectious mononucleosis is spread via saliva; sharing water bottles is a likely transmission route, unlike hats, nail injuries, or shellfish.

Question 2 of 5

The nurse enters a 2 year-old child's hospital room in order to administer an oral medication. When the child is asked if he is ready to take his medicine, he immediately says, 'No!'. What would be the most appropriate next action?

Correct Answer: A

Rationale: Leave the room and return five minutes later and give the medicine. Respecting the child's response builds trust, and a brief delay aligns with a toddler's sense of time.

Question 3 of 5

Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include

Correct Answer: C

Rationale: Post-operatively, the initial feedings are clear liquids in small quantities to provide calories and electrolytes.

Question 4 of 5

A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client's serum potassium level to be?

Correct Answer: B

Rationale: Respiratory acidosis causes potassium to shift from cells to the bloodstream, leading to hyperkalemia. This is a compensatory response to acid-base imbalance. Physiological Adaptation

Question 5 of 5

The nurse is caring for a client with a deep vein thrombosis (DVT) who is receiving heparin therapy. Which of the following laboratory values should the nurse monitor closely?

Correct Answer: B

Rationale: Heparin’s anticoagulant effect is monitored via aPTT, with a therapeutic range of 1.5–2.5 times the control value to ensure effective DVT treatment without bleeding risk. PT/INR (A,
C) monitor warfarin, and platelet count (
D) is monitored for heparin-induced thrombocytopenia but is secondary.

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