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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?

Correct Answer: A

Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.

Question 2 of 5

The client states, 'My discharge plan leaves me with a lot to do. I don't think I can do it. I'm never good at doing things.' The nurse knows the client lacks:

Correct Answer: D

Rationale: Expressing doubt in ability to manage the discharge plan indicates low self-efficacy, a belief in one's capacity to execute tasks.

Extract:

The nurse understands that the patient with esophageal varices should not be given food such as:


Question 3 of 5

The nurse understands that the patient with esophageal varices should not be given food such as:

Correct Answer: A

Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.

Extract:


Question 4 of 5

What finding signifies that children have attained the stage of concrete operations (Piaget)?

Correct Answer: C

Rationale: The stage of concrete operations is depicted by logical thinking and moral judgments.

Extract:

A client who had previously signed the consent for liver biopsy has changed his mind and no longer wants the procedure.


Question 5 of 5

The best initial response by the nurse would be:

Correct Answer: B

Rationale: Exploring the reason for refusal respects the patient's autonomy and facilitates informed decision-making.

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