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NCLEX PN Practice Questions Questions

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Question 1 of 5

A client is on a low-residue diet. All of the following are on the client's tray. Which should be removed?

Correct Answer: C

Rationale: Strawberry jam contains seeds, which increase intestinal residue, contraindicated in a low-residue diet. Roast beef, mashed potatoes, and white bread are low-fiber and appropriate.

Question 2 of 5

The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching?

Correct Answer: A

Rationale:
Torn axillary pads can cause discomfort and injury, indicating a need for replacement and further teaching.

Question 3 of 5

A client with an implantable cardioverter defibrillator (ICD) develops ventricular tachycardia (VT) with a pulse while admitted to the medical-surgical unit. The ICD fires multiple times without successfully stopping the VT, causing the client to become confused and difficult to rouse. Which action by the nurse is appropriate?

Correct Answer: D

Rationale: Persistent VT causing altered mental status requires synchronized cardioversion to restore normal rhythm.

Question 4 of 5

The nurse is assisting with the care of a client who is scheduled to receive an oxytocin infusion to induce labor. The nurse should recognize that oxytocin infusion can lead to

Correct Answer: B

Rationale: Oxytocin can cause uterine hyperstimulation, leading to fetal distress and potential cesarean delivery.

Question 5 of 5

A 54-year-old male is admitted to the cardiac unit with chest pain radiating to the jaw and left arm. Which enzyme would be most specific in the diagnosis of a myocardial infarction?

Correct Answer: D

Rationale: CK-MB (creatine phosphokinase muscle bond isoenzyme) is the most specific for a myocardial infarction. Troponin is also extremely reliable. Answers A, B, and C are nonspecific to myocardial infarctions, so they are incorrect.

Similar Questions

The nurse is talking with a client with acne vulgaris who has a new prescription for isotretinoin. Which of the following statements by the client would require follow-up?
The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply.
The nurse is discussing management of nocturnal enuresis with the parent of a 10-year-old client who has had little response to behavioral interventions. The parent tells the nurse, 'My child wants to go to overnight camp in several months but is afraid of being teased by other children if an accident occurs.' Which of the following responses would be most appropriate for the nurse to make?
The nurse is caring for a client admitted 3 days ago with bacterial pneumonia who has become short of breath, restless, and difficult to rouse. Which additional finding indicates to the nurse that the client may be developing sepsis?
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.

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