NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation

Question 2 of 5

The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?

Correct Answer: C

Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.

Question 3 of 5

A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse's first action should be to:

Correct Answer: D

Rationale: Nausea and jitteriness suggest aminophylline toxicity, so checking the drug level is the priority. Other actions address symptoms, not the cause.

Question 4 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg tid. The nurse should instruct the client to

Correct Answer: B

Rationale: Alcohol can lower phenytoin levels, increasing seizure risk, so avoidance is critical. Taking with meals (
A) is unnecessary, calcium (
C) is unrelated, and stopping for a rash (
D) requires physician consultation due to potential Stevens-Johnson syndrome.

Extract:

The patient with DM is for discharged.


Question 5 of 5

The nurse who makes home care plan will take which one as priority?

Correct Answer: A

Rationale: Glucose monitoring is the priority to manage diabetes and prevent complications.

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