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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?

Correct Answer: A

Rationale: Avoid Alka-Seltzer because it contains aspirin. Alka-Seltzer is an over-the-counter aspirin-antacid combination. Aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin, which may result in excess bleeding.

Extract:

The nurse is assigned to a patient newly diagnosed with active tuberculosis.


Question 2 of 5

Which of these interventions would be a priority for the nurse to implement?

Correct Answer: D

Rationale: A negative pressure room and masks prevent airborne transmission of tuberculosis, a priority for infection control.

Extract:

Homonymous hemianopsia:


Question 3 of 5

Homonymous hemianopsia:

Correct Answer: A

Rationale: Homonymous hemianopsia involves loss of half the visual field in both eyes, same side.

Extract:


Question 4 of 5

The nurse assesses a client who gave birth 24 hours earlier. Which of the following findings reveals the need for further evaluation?

Correct Answer: B

Rationale: During the early postpartum period, lochia rubra should be moderate to significant. Scant lochia rubra suggests that large clots are blocking the lochial flow. After delivery, vasomotor changes may cause a shaking chill. Thirst, fatigue, and a temperature of up to 100.4°F (38°
C) also are common at 24 hours postpartum.

Question 5 of 5

The output from a client's indwelling catheter is 500 mL for the past 10 hours. The nurse should:

Correct Answer: A

Rationale: Urine output of 500 mL in 10 hours (50 mL/hour) is within normal limits (30-50 mL/hour). No intervention is needed.

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