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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?

Correct Answer: A

Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.

Question 2 of 5

A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects.

Question 3 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

Question 4 of 5

A client with a history of chronic kidney disease is prescribed a low-potassium diet. Which food should the nurse instruct the client to avoid?

Correct Answer: B

Rationale: Bananas are high in potassium, which should be avoided in chronic kidney disease.

Question 5 of 5

A 17-year-old unmarried postpartum client is being discharged. Which situation suggests the need for a community-based assistance referral after discharge?

Correct Answer: B

Rationale: Living alone as a young, unmarried mother indicates a lack of immediate support, necessitating a referral for community assistance.

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