NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

A new nurse has just completed orientation and is working on the medical unit. The new nurse is shadowing the charge nurse as they both care for a client with a potassium level of 6.3 mEq/L. Which action by the new nurse requires intervention by the charge nurse?

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic and could worsen hyperkalemia (potassium 6.3 mEq/L). The other actions are appropriate for managing hyperkalemia or general care.

Question 2 of 5

During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The nurse's first action should be to:

Correct Answer: C

Rationale: Unclamping the nephrostomy tube is the priority to restore urine flow and prevent obstruction or infection.

Question 3 of 5

The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in:

Correct Answer: B

Rationale: The Whipple procedure is typically performed for pancreatic cancer in the head of the pancreas, involving resection of the pancreatic head, duodenum, and other structures.

Question 4 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

Question 5 of 5

The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?

Correct Answer: C

Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis

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