NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A patient with heart failure is prescribed furosemide (Lasix). Which of the following electrolyte imbalances should the nurse monitor for?

Correct Answer: B

Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to hypokalemia, which can cause arrhythmias. Hyperkalemia, hypernatremia, and hyponatremia are less likely with furosemide.

Question 2 of 5

The parents of a child with tetralogy of Fallot ask the nurse why it is called a cyanotic heart defect. The nurse responds that it is called a cyanotic heart defect because:

Correct Answer: C

Rationale: Tetralogy of Fallot causes right-to-left shunting, allowing deoxygenated blood to enter systemic circulation, leading to cyanosis, the hallmark of this defect.

Question 3 of 5

The nurse is preparing to administer a dose of digoxin (Lanoxin) to a client with heart failure. The client’s apical pulse is 56 beats per minute. The nurse should

Correct Answer: B

Rationale: Digoxin can cause bradycardia, and a pulse below 60 bpm warrants holding the dose and notifying the physician to prevent toxicity. Administering (
A) or reducing (
C) is unsafe, and rechecking (
D) delays intervention.

Extract:

You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.


Question 4 of 5

You anticipate all of the following to be ordered except:

Correct Answer: D

Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.

Extract:


Question 5 of 5

Which of the following observations is most important when assessing a client's breathing?

Correct Answer: C

Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation

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