NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

A 20-year-old woman calls the outpatient clinic to schedule her first Papanicolaou's smear. The nurse should instruct the client to

Correct Answer: B

Rationale: douching would affect appearance of cells in vaginal smear, would make test inaccurate

Question 2 of 5

The physician orders meperidine (Demerol) 50 mg IM every 3-4 h PRN for pain for a client. The client asks the nurse for the medication at bedtime. Prior to administering the pain medication, the nurse should

Correct Answer: D

Rationale: assessment first step in nursing process

Question 3 of 5

While planning care for an elderly client with dementia, which of the following should be a priority for the nurse?

Correct Answer: D

Rationale: is most effective when communicating with an elderly client

Question 4 of 5

The nurse is called to the room of a patient four days after abdominal surgery. The patient had been coughing and said he felt something give. The nurse observes that the edges of the incision have separated, and a small loop of the bowel protrudes through the incision. The nurse should position the patient

Correct Answer: C

Rationale: low Fowler's, reduces stress on suture line, may be placed supine with hips and knees bent

Question 5 of 5

A client received six units of regular insulin three hours ago.

Correct Answer: C

Rationale: Regular insulin peaks in 2-4 hours, and diaphoresis and trembling are classic signs of hypoglycemia, a potentially life-threatening complication requiring immediate intervention (e.g., administering skim milk). Kussmaul respirations indicate hyperglycemia, while anorexia, lethargy, headache, and polyuria are not specific to hypoglycemia.

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