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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?

Correct Answer: D

Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.

Extract:

When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.


Question 2 of 5

Mediastinal shift is described as:

Correct Answer: A

Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.

Extract:


Question 3 of 5

The nurse is caring for a client with a deep vein thrombosis (DVT) who is receiving heparin therapy. Which of the following laboratory values should the nurse monitor closely?

Correct Answer: B

Rationale: Heparin’s anticoagulant effect is monitored via aPTT, with a therapeutic range of 1.5–2.5 times the control value to ensure effective DVT treatment without bleeding risk. PT/INR (A,
C) monitor warfarin, and platelet count (
D) is monitored for heparin-induced thrombocytopenia but is secondary.

Extract:

Mr. Leon Gamett, 45-years-old, was admitted with pneumococcal pneumonia & Tuberculosis.


Question 4 of 5

Which of the following nursing action is appropriate?

Correct Answer: A

Rationale: Negative air pressure rooms prevent TB transmission, a priority intervention.

Extract:

The best indication that a patient with diabetes mellitus is successfully managing the disease after discharge is a


Question 5 of 5

significant loss of body weight.

Correct Answer: B

Rationale: A combination of diet, exercise, and medication is necessary to control the disease; the interaction of these therapies is reflected by well-controlled serum glucose.

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