NCLEX Questions, NCLEX-PN Practice Questions PDF Questions, NCLEX-PN Questions, Nurselytic

Questions 160

NCLEX-PN

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Question 1 of 5

After an upper GI X-ray, it is most important for the nurse to monitor which of the following?

Correct Answer: B

Rationale: Barium used in an upper GI X-ray can cause constipation or impaction, so monitoring stool consistency is critical.

Question 2 of 5

A client with a nasogastric tube has just returned from the recovery room after gastric surgery. Which report made by the client is essential to pass on to the physician or charge nurse?

Correct Answer: D

Rationale: Bright red, bloody drainage indicates potential hemorrhage, requiring immediate reporting to the physician.

Question 3 of 5

A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor closely?

Correct Answer: B

Rationale: Hydrochlorothiazide can cause hypokalemia; monitoring potassium levels is essential.

Question 4 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

Question 5 of 5

The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the "OK" sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client's abrupt departure?

Correct Answer: C

Rationale: A. Since the client had participated in the discussion up to the point of the nurse's actions, he obviously was not uncomfortable with the discussion. B. A Latino is usually not uncomfortable with close personal space; some Latinos perceive Anglos as distant because they prefer more personal space during a conversation. C. In much of Latin America, the North American "OK" sign (i.e., pinched thumb and forefinger) may be considered obscene. D. Anger and an abrupt departure are usually not behaviors displayed by the client when teaching is completed.

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