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NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A patient with a history of myocardial infarction is prescribed aspirin. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Avoiding other NSAIDs prevents increased bleeding risk with aspirin, a key antiplatelet post-MI. Empty stomach increases GI upset, ringing requires reporting, and aspirin is daily, not PRN.

Question 2 of 5

An 8 year-old child is hospitalized during the edema phase of minimal change nephrotic syndrome. The nurse is assisting in choosing the lunch menu. Which menu is the best choice?

Correct Answer: C

Rationale: This menu is lowest in sodium. Ideally, low fat milk would be available.

Extract:

Following Nitroglycerin patch application


Question 3 of 5

An expected outcome experienced by the client would be one of the following:

Correct Answer: B

Rationale: Nitroglycerin may cause reflex tachycardia as a compensatory response to vasodilation.

Extract:


Question 4 of 5

The nurse administered an intramuscular injection to an adult. How should the nurse dispose of the needle and syringe?

Correct Answer: A

Rationale: Immediately placing the needle and syringe in a sharps container prevents needlestick injuries. Recapping or separating risks exposure, and cutting is unsafe.

Question 5 of 5

A client with mastoiditis has a left mastoidectomy with tympanoplasty. The nurse should observe the client for signs of damage to the sixth crania nerve, which include:

Correct Answer: B

Rationale: The sixth cranial nerve (abducens) controls lateral eye movement, so damage would result in an inability to look laterally.

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