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Questions 160

NCLEX-PN

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Question 1 of 5

A hospitalized client diagnosed with cancer has a sealed source of radiation inserted into the vagina. Which information is most important for the charge nurse to obtain to ensure the safety of the nurse assigned to care for the client?

Correct Answer: B

Rationale: Pregnancy contraindicates caring for clients with internal radiation due to fetal risk, making this the most critical information.

Question 2 of 5

The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Tachycardia, hypotension, dry mucous membranes, and cool, clammy skin indicate hypovolemia; increased urine output does not.

Question 3 of 5

Which statement provides the best indication that a client understands the nurse's teaching about alprazolam (Xanax), a newly prescribed medication?

Correct Answer: A

Rationale: Alcohol can potentiate alprazolam's sedative effects, increasing the risk of adverse events, so avoiding it indicates understanding.

Question 4 of 5

A client with type 2 diabetes mellitus reports feeling shaky and sweaty. The nurse checks the blood glucose level, which is 55 mg/dL. What is the nurse's priority action?

Correct Answer: B

Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia; 15 g of a fast-acting carbohydrate (e.g., juice) is the priority to raise glucose levels.

Question 5 of 5

A client with a nasogastric tube has just returned from the recovery room after gastric surgery. Which report made by the client is essential to pass on to the physician or charge nurse?

Correct Answer: D

Rationale: Bright red, bloody drainage indicates potential hemorrhage, requiring immediate reporting to the physician.

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