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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A client has gastroesophageal reflux. Which recommendation made by the nurse would be most helpful to the client?

Correct Answer: D

Rationale: Avoid eating 2 hours before going to sleep. Eating before sleeping enhances the regurgitation of stomach contents, which have increased acidity, into the esophagus. An upright posture should be maintained for about 2 hours after eating to allow for the stomach emptying. Options A and C are interventions for clients with swallowing difficulties.

Question 2 of 5

The nurse is preparing to administer a dose of warfarin (Coumadin) to a client with atrial fibrillation. The client’s INR is 4.5. The nurse should

Correct Answer: B

Rationale: An INR of 4.5 (therapeutic range: 2–3 for atrial fibrillation) indicates over-anticoagulation, increasing bleeding risk, so the dose should be held and the physician notified. Administering (
A) or reducing (
C) is unsafe, and vitamin K (
D) requires a physician order.

Question 3 of 5

The nurse is caring for a client with a history of Parkinson’s disease who is prescribed levodopa-carbidopa (Sinemet). Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: High-protein meals can interfere with levodopa absorption, so avoiding them with doses improves efficacy. Taking on an empty stomach (
A) is ideal but not mandatory, vitamin B6 (
C) enhances metabolism (reducing effect), and stopping for dizziness (
D) requires physician consultation.

Question 4 of 5

The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:

Correct Answer: C

Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.

Extract:

This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.


Question 5 of 5

Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?

Correct Answer: B

Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.

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