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NCLEX PN Test Questions

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Question 1 of 5

A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?

Correct Answer: A

Rationale: Stimulation of the breast during nursing releases oxytocin, which contracts the uterus, reducing the risk of further bleeding.

Question 2 of 5

A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?

Correct Answer: C

Rationale: Reverse isolation protects against infection but does not affect hemorrhage risk. The other actions directly reduce bleeding risk by detecting or preventing trauma to tissues. Physiological Adaptation

Question 3 of 5

Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?

Correct Answer: A

Rationale: 0.9% sodium chloride (normal saline) is isotonic and compatible with blood, preventing cell lysis or clotting during IV flushing. The other solutions are inappropriate for this purpose. Pharmacological Therapies

Question 4 of 5

A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63 mmHg, HCO3 23, and oxygenation saturation (SaO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?

Correct Answer: D

Rationale: Low PO2 (63 mmHg) and SaO2 (93%) indicate hypoxia, despite normal pH, PCO2, and HCO3. TB, pneumonia, or pleural effusion may cause hypoxia but are not the direct etiology shown by ABGs. Physiological Adaptation

Question 5 of 5

The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing a pulmonary embolism is the client who

Correct Answer: C

Rationale: Recent cesarean birth increases pulmonary embolism risk due to immobility, surgical trauma, and hypercoagulability postpartum. Pneumonia, subdural hematoma, and hormone therapy carry lower or less immediate risks in this context.

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The nurse is contributing to the plan of care for a newly admitted client with schizophrenia who is experiencing persecutory delusions. Which of the following interventions should the nurse suggest including in the client's plan of care?
The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?

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