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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A couple trying to conceive asks the nurse when ovulation occurs. The woman reports a regular 32 day cycle. Which response by the nurse is correct?

Correct Answer: D

Rationale: Days 17-19. Ovulation occurs 14 days prior to menses. Considering that the woman's cycle is 32 days, subtracting 14 from 32 suggests ovulation is at about the 18th day.

Extract:

The basic pathophysiologic problem in cirrhosis of the liver causing esophageal varices is:


Question 2 of 5

The basic pathophysiologic problem in cirrhosis of the liver causing esophageal varices is:

Correct Answer: B

Rationale: Portal hypertension causes blood backup, leading to esophageal varices.

Extract:


Question 3 of 5

Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:

Correct Answer: D

Rationale: Addiction is not a primary concern in terminally ill clients receiving opioids for pain management.
Tolerance, constipation, and sedation are common side effects requiring assessment. Basic Care and Comfort

Extract:

The PN may appropriately delegate which of the following to the nursing assistant?


Question 4 of 5

Take the patient's vital signs before starting a blood transfusion.

Correct Answer: A

Rationale: Taking vital signs is within the nursing assistant's scope, unlike central line care, suctioning, or assessing chest pain.

Extract:


Question 5 of 5

The nurse is caring for a client with a nasogastric tube in place. Assessment of the aspirate reveals a pH of 2.0. Which is the appropriate action?

Correct Answer: A

Rationale: This finding is within normal range for gastric aspirate of 0-4. Answers B, C, and D would not be appropriate or necessary due to the normal reading, so they're incorrect.

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