Questions 150

NCLEX-RN

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Question 1 of 5

A client is admitted with acute pancreatitis. The nurse should monitor which of the following laboratory values?

Correct Answer: D

Rationale: Acute pancreatitis causes elevated serum amylase and lipase due to pancreatic enzyme release, key diagnostic markers.

Question 2 of 5

Before the nurse administers I.V. replacement of 5% dextrose in water with potassium chloride, what nursing intervention must be completed first?

Correct Answer: B

Rationale: Evaluating electrolyte levels, especially potassium, is critical before administering potassium chloride to prevent hyperkalemia. Adding potassium at the bedside is unsafe, and priming or checking rates follows.

Question 3 of 5

You assess your family as having a deficit in terms of their instrumental activities of daily living (ADLs). Which healthcare professional would you most likely refer this family to in order to address this deficit?

Correct Answer: C

Rationale: Occupational therapists specialize in helping individuals improve their ability to perform instrumental activities of daily living (e.g., managing finances, cooking), making them the most appropriate referral for this deficit.

Question 4 of 5

After surgery to create a urinary diversion, the client is at risk for a urinary tract infection. The nurse should plan to incorporate which of the following interventions into the client's care?

Correct Answer: B

Rationale: Emptying the appliance when one-third full prevents urine stasis, reducing infection risk.

Question 5 of 5

Which of the following skin care instructions would be appropriate for a client receiving radiation therapy?

Correct Answer: A

Rationale: Avoiding straight-edge razors prevents skin irritation in the radiated area, which is sensitive.

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