NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Extract:


Question 1 of 5

A client with moderate Alzheimer disease is started on memantine. What should the nurse monitor to evaluate the effectiveness of this medication?

Correct Answer: A

Rationale: Memantine may slow decline and improve daily functioning (
A). It does not stop progression (
B), provide rapid improvement (
C), or reverse Alzheimer's (
D).

Question 2 of 5

A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see first?

Correct Answer: A

Rationale: Tingling (
A) suggests neurovascular compromise, requiring urgent assessment. Itching (
B), moderate pain (
C), and throbbing (
D) are less critical.

Question 3 of 5

An alert adult is being admitted for elective surgery. Which comment made by the client indicates a need for more instruction regarding advance directives?

Correct Answer: B

Rationale: Advance directives allow clients to specify care preferences, not relinquish decision-making entirely. This comment suggests a misunderstanding that requires further education.

Question 4 of 5

The nurse reinforces education about safety modifications in the home for the spouse of a client diagnosed with Alzheimer disease. What instructions should the nurse include?

Correct Answer: A,B,C,D

Rationale: Clear pathways (
A), accessible items (
B), locked doors (
C), and bathroom symbols (
D) enhance safety. A dark room (E) may increase confusion or fear.

Extract:

Laboratory results
Sodium
136-145 mEq/L
(136-145 mmol/L) 150 mEq/L (150 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 6.0 mEq/L (6.0 mmol/L)
Calcium
9.0-10.5 mg/dL
(2.25-2.62 mmol/L) 9.0 mg/dL (2.25 mmol/L)
Phosphate
3.0-4.5 mg/dL
(0.97-1.45 mmol/L) 5.8 mg/dL (1.87 mmol/L)


Question 5 of 5

The home health nurse has reviewed the most recent laboratory test results for a client with chronic kidney disease. Which of the following would be an appropriate afternoon snack to recommend for the client?

Correct Answer: C

Rationale: CKD patients need low-potassium, low-phosphorus snacks. Oatmeal with apples (
C) is suitable. Milk (
A) is high in phosphorus, and chips (
B) are high in sodium. Pudding (
D) may have additives.

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