NCLEX Questions, NCLEX Practice Questions PN Questions, NCLEX-PN Questions, Nurselytic

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client reports that someone is in the room and trying to kill him. The nurse's best response is:

Correct Answer: B

Rationale: It is important to acknowledge the client's fear. The other responses deny the client's perceptions.

Question 2 of 5

A client reports that someone is in the room and trying to kill him. The nurse's best response is:

Correct Answer: B

Rationale: It is important to acknowledge the client's fear. The other responses deny the client's perceptions.

Question 3 of 5

The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.

Question 4 of 5

The nurse is teaching a newly diagnosed asthma client on how to use a peak flow meter. The nurse explains that this should be used to

Correct Answer: B

Rationale: The peak flow meter is used to measure peak expiratory flow volume. It provides useful information about the presence and/or severity of airway obstruction.

Question 5 of 5

The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, B, C

Rationale: Increased fluids (
A), phlebotomy (
B), and aspirin (
C) manage polycythemia vera by reducing blood viscosity and clotting risk. Leg elevation (
D) is irrelevant, and iron supplementation (E) worsens the condition.

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