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Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

An adult woman has been diagnosed with varicose veins. Which aspect of her history is most likely related to her diagnosis?

Correct Answer: A

Rationale: Multiple pregnancies increase intra-abdominal pressure and venous stasis, contributing to varicose veins. Running, normal weight, and sedentary work are less directly related.

Question 2 of 5

Which measures will help prevent falls in the elderly clients of a long-term care facility? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Exercise, lighting, handrails, and rounds reduce fall risk. Smooth-soled shoes increase slipping risk.

Question 3 of 5

The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?

Correct Answer: D

Rationale: Ativan (lorazepam), a benzodiazepine, is used to manage alcohol withdrawal symptoms like seizures and agitation. Antabuse deters drinking, flumazenil reverses benzodiazepines, and methadone treats opioid withdrawal.

Question 4 of 5

A nurse is caring for a client following the delivery of a stillborn infant. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,D,E

Rationale: Bathing, holding, and obtaining mementos support grieving. Naming is a personal choice, and organ donation discussions may be inappropriate at this time.

Extract:

Intake and output record

Emesis 120 mL
Wet diaper 1 50 g
Wet diaper 2 52 g
Wet diaper 3 46 g

*Weight of a dry diaper = 30 g
Intake and output record


Question 5 of 5

The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's output?

Correct Answer: 208

Rationale: Emesis (120 mL) plus diaper output (50-30=20 mL, 52-30=22 mL, 46-30=16 mL) totals 120+20+22+16=208 mL.

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