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

Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be

Correct Answer: A

Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.

Extract:

A male client in the dermatologist's clinic asked the nurse for information on contraceptives. The nurse, who was aware of her limited knowledge on contraceptives, has provided contact number for information to the client.


Question 2 of 5

The nurse's action was based on the Regulatory Board's standard of practice which is:

Correct Answer: C

Rationale: Providing a contact number reflects competency by acknowledging limitations and ensuring accurate information.

Extract:

Which of the following lab finding is a strong indicator of DIC?


Question 3 of 5

Which of the following lab finding is a strong indicator of DIC?

Correct Answer: B

Rationale: Elevated D-dimer indicates fibrin degradation, a hallmark of DIC.

Extract:


Question 4 of 5

The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).

Question 5 of 5

A woman had a hysterectomy this morning. She asks the nurse why she has to wear 'these uncomfortable stockings on my legs.' How should the nurse reply?

Correct Answer: D

Rationale: Compression stockings prevent deep vein thrombosis by promoting venous return, critical post-surgery.

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