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Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the provider ordering

Correct Answer: B

Rationale: vena caval interruption. Clients with contraindications to Heparin, recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation.

Question 2 of 5

A woman who is pregnant for the first time asks the nurse when during pregnancy is the best time to take Lamaze classes. What should the nurse respond?

Correct Answer: B

Rationale: The second trimester is ideal for Lamaze classes, as it allows time to learn techniques before labor while avoiding early pregnancy discomforts and late-term fatigue.

Question 3 of 5

After successful alcohol detoxification, a client remarked to a friend, 'I've tried to stop drinking but I just can't. I can't even work without having a drink.' The client's belief that he needs alcohol indicates his dependence is primarily

Correct Answer: A

Rationale: With psychological dependence, it is the client's thoughts and attitude toward alcohol that produce craving and compulsive use.

Question 4 of 5

Following a motor vehicle crash, the nurse stops to help a victim who has a laceration with spurting blood. The nurse giving reasonable assistance could be held liable despite Good Samaritan laws in which situations? Select all that apply.

Correct Answer: A,C

Rationale: Accepting money negates Good Samaritan protection, and failure to apply direct pressure could be considered negligent care.

Question 5 of 5

The nurse makes a home visit to a client with Alzheimer disease. While reviewing the client's home care needs, the client's spouse states, 'It's hard to see my spouse worsen each day. I'm not sure I can keep doing this alone anymore.' Which response by the nurse is best?

Correct Answer: B

Rationale: Exploring the spouse's daily challenges encourages open communication and helps identify specific support needs.

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