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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to

Correct Answer: A

Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.

Extract:

Oral hypoglycemic agents may be used for patients with:


Question 2 of 5

Ketosis

Correct Answer: D

Rationale: Oral hypoglycemics may be helpful when some functioning of the beta cells exists, as in type II diabetes mellitus.

Extract:


Question 3 of 5

A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:

Correct Answer: A

Rationale: A client with delusions of grandeur has a false belief that he is highly important or famous. A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil in the world.

Extract:

Following major abdominal surgery, Mrs. Lafayette, was started on Morphine infusion via PCA (patient's controlled analgesia) pump.


Question 4 of 5

Priority nursing care for the patient would include:

Correct Answer: A

Rationale: Morphine sulfate is a central nervous system depressant, and respiratory depression is a serious side effect, making respiratory status the priority.

Extract:


Question 5 of 5

A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.

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