NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 6 Questions

Extract:


Question 1 of 5

A client has returned from surgery with a fine, reddened rash noted around the area where Betadine prep had been applied prior to surgery. Nursing documentation in the chart should include

Correct Answer: C

Rationale: suspected reaction to drugs should be reported to the doctor and noted on list of possible allergies

Question 2 of 5

The nurse is reviewing procedures with the health care team. The nurse should intervene if an RN staff member makes which of the following statements?

Correct Answer: C

Rationale: physician should provide explanation and obtain patient's signature

Extract:

A 35-year-old woman one-day postpartum receiving butorphanol tartrate (Stadol) 1 mg IM.


Question 3 of 5

Which of the following actions is MOST important for the nurse to take after administering the medication?

Correct Answer: B

Rationale: Strategy: Determine the cause of each answer choice and how it relates to Stadol. (1) causes sedation, but not most important (2) correct-decreases rate and depth of respirations (3) diplopia and blurred vision are side effects, but not most important (4) not side effect of medication

Extract:


Question 4 of 5

A client has a history of oliguria, hypertension, and peripheral edema.

Correct Answer: A

Rationale: Oliguria, hypertension, and edema suggest renal impairment, where protein restriction reduces metabolic waste (e.g., urea nitrogen) that the kidneys cannot excrete. Fats and carbohydrates are encouraged, and magnesium restriction is not indicated.

Question 5 of 5

The nurse anticipates that for a family who practices Chinese medicine the priority therapeutic goal would be to

Correct Answer: D

Rationale: For followers of Chinese medicine, health is maintained through balance between the forces of yin and yang.

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