NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

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NCLEX Trainer Test 4 Questions

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Question 1 of 5

An adult male is admitted with urolithiasis. The nurse expects which orders for this client? Select all that apply.

Correct Answer: A,B,C

Rationale: Pushing fluids promotes stone passage, straining urine captures stones for analysis, and pain medication addresses colic in urolithiasis. Clean catch, catheterization, or clear liquids are not standard.

Question 2 of 5

The nurse is caring for a client who had a myocardial infarction yesterday and received alteplase (tPA). The client's spouse asks the nurse why that medication was given. What should the nurse include when replying?

Correct Answer: B

Rationale: Alteplase (tP
A) is a thrombolytic drug and dissolves the clot that is blocking a coronary artery. It does not relieve pain, prevent new clots from forming, or help the heart muscle to heal.

Question 3 of 5

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D).

Correct Answer: B

Rationale: Haloperidol decanoate is highly irritating to subcutaneous tissue, requiring deep IM injection into a large muscle mass to ensure proper absorption and minimize irritation. Massaging the site, using a small-gauge needle, or dividing doses is inappropriate.

Question 4 of 5

An adult is on a clear liquid diet. Which food should the nurse offer him?

Correct Answer: D

Rationale: Apple juice is a clear liquid, appropriate for a clear liquid diet. Milkshakes and sherbet contain dairy, and fruited gelatin may have solids, making them unsuitable.

Question 5 of 5

The nurse counsels a 70-year-old woman who comes to the outpatient clinic for a routine examination.

Correct Answer: C

Rationale: Excessive laxative use in a 70-year-old likely reflects overconcern with bowel function, common in elderly patients facing physical changes like constipation. There’s no evidence of anal fixation, depression, or regression in the scenario.

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