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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A client with a history of pancreatitis reports severe abdominal pain. Which position should the nurse encourage?

Correct Answer: B

Rationale: Side-lying with knees flexed reduces tension on the pancreas, alleviating pain.

Question 2 of 5

Which of the following clients is at the greatest risk of developing maternal and fetal complications during pregnancy? Select all that apply.

Correct Answer: A,D,E

Rationale: Restricting food intake can lead to malnutrition, increasing fetal risks. Advanced maternal age (36) increases complications like gestational diabetes. Refusing prenatal vitamins can cause deficiencies, affecting fetal development.

Question 3 of 5

The nurse is teaching the client about metronidazole, which has been prescribed for treating trichomoniasis. Which client comment indicates the need for additional education?

Correct Answer: B

Rationale: A. Clients may experience a metallic taste while taking metronidazole. B. Drinking alcohol while on metronidazole (Flagyl) is contraindicated. It can cause a disulfiram-like reaction with nausea, vomiting, abdominal cramps, headache, and flushing. C. Metronidazole can turn urine dark. It is important to inform clients of this. D. Nausea can occur when taking metronidazole. Taking it with food or milk may decrease GI irritation.

Question 4 of 5

The nurse is teaching a client about managing hypertension. Which instruction is most appropriate?

Correct Answer: A

Rationale: Limiting sodium to 2 g/day helps reduce blood pressure in hypertension.

Question 5 of 5

A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?

Correct Answer: D

Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.

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