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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Questions Questions

Extract:


Question 1 of 5

A client with hyperkalemia is to receive an infusion of $250 \mathrm{~mL}$ of $20% glucose with 20 units of regular insulin. The rationale for this therapy is:

Correct Answer: C

Rationale: Insulin facilitates glucose uptake by cells, which drives potassium into cells, lowering serum potassium levels in hyperkalemia.

Question 2 of 5

After a prolonged surgical procedure, the client reports unilateral leg pain. Which client assessment finding is most concerning?

Correct Answer: D

Rationale: Calf asymmetry of 4 cm suggests deep vein thrombosis, a critical postoperative complication. Pain is nonspecific, negative Homan sign is unreliable, and varicose veins are less urgent.

Question 3 of 5

A client with cancer tells the nurse that he would like to make out a living will. The nurse knows that a living will provides documentation of:

Correct Answer: C

Rationale: A living will documents a client's wish to avoid life-prolonging interventions in terminal conditions. It does not mandate all assistance, delegate decisions, or support euthanasia.

Question 4 of 5

A client who is pregnant at 30 weeks gestation comes to the prenatal clinic. Which of the following vaccines may be administered safely at this prenatal visit? Select all that apply

Correct Answer: A,D

Rationale: Influenza injection and Tdap are safe and recommended in pregnancy. Nasal spray , MMR , and varicella are live vaccines, contraindicated in pregnancy.

Extract:

Laboratory reference ranges
BUN
10-20 mg/dL
(3.6-7.1 mmol/L)


Question 5 of 5

An 80-year-old client is receiving amikacin, an aminoglycoside antibiotic, IVPB every 12 hours. Which of the following data obtained by the practical nurse is most important to report to the registered nurse before the client receives the next dose?

Correct Answer: A

Rationale: Tinnitus may indicate ototoxicity, requiring immediate reporting. Low BP and urine output are less urgent without context of medication.

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