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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?

Correct Answer: C

Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.

Question 2 of 5

The mother of a 3-year-old has been told that her child has a brain tumor. She initially begins to cry and accuses the physicians of lying. Which of the following stages is the mother most likely experiencing?

Correct Answer: C

Rationale: Anger is the stage of grief in which a person expresses anger about the diagnosis or situation. Acceptance occurs when the person comes to terms with the diagnosis. This situation isn't an example of a psychotic episode; it's a normal stage of the grieving process. Denial is the stage of grief when a person refuses to believe the truth.

Question 3 of 5

A patient with cirrhosis is experiencing ascites. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: Diuretics reduce fluid overload in ascites, as prescribed. High-sodium diets worsen fluid retention, fluid restriction is typically 1–1.5 liters, and supine positioning may impair breathing.

Question 4 of 5

The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:

Correct Answer: C

Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.

Question 5 of 5

The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?

Correct Answer: D

Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.

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