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Questions 149

NCLEX-RN

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Question 1 of 5

A client is admitted with suspected acute pancreatitis. Which lab finding confirms the diagnosis?

Correct Answer: D

Rationale: Elevated serum amylase levels, particularly above 3 times the normal range, confirm acute pancreatitis due to pancreatic enzyme release.

Question 2 of 5

To ensure safety while administering a nitroglycerine patch, the nurse should:

Correct Answer: A

Rationale: Gloves prevent the nurse from absorbing nitroglycerin, avoiding side effects.

Question 3 of 5

When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

Correct Answer: C

Rationale: Elevating the hips relieves pressure on the prolapsed cord, maintaining fetal oxygenation.

Question 4 of 5

The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?

Correct Answer: D

Rationale: Sexual function is not directly related to bowel and bladder retraining, unlike diet, mobility, and fluid intake.

Question 5 of 5

The nurse in an ambulatory care clinic is admitting a 27-year-old client with severe systemic lupus erythematosus (SLE). In assessing the client's health history, the nurse knows to question which of the following statements?

Correct Answer: D

Rationale: Annual eye exams may not be sufficient for SLE, as the condition and its treatments can cause frequent eye complications, requiring more regular monitoring.

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