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Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

An alert adult is being admitted for elective surgery. Which comment made by the client indicates a need for more instruction regarding advance directives?

Correct Answer: B

Rationale: Advance directives allow clients to specify care preferences, not relinquish decision-making entirely. This comment suggests a misunderstanding that requires further education.

Question 2 of 5

Because a client is scheduled for a bronchoscopy tomorrow, the nurse should do which of the following?

Correct Answer: B

Rationale: Bronchoscopy involves sedation and airway manipulation, requiring NPO status after midnight to prevent aspiration, unlike fluids, enemas, or withholding medications.

Question 3 of 5

One month ago, a client was prescribed phenytoin 100 mg orally 3 times daily. The client's current serum phenytoin level is 32 mcg/mL (127 μmol/L). Which action by the health care provider does the nurse anticipate?

Correct Answer: B

Rationale: A phenytoin level of 32 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), so the dose should be decreased (
B). Continuing (
A) or increasing (
C) the dose risks toxicity. Repeating the level (
D) delays intervention.

Question 4 of 5

A 78-year-old client is admitted following a cerebrovascular accident. He cannot move his left arm and leg. Which finding would indicate to the nurse that the client also has homonymous hemianopia?

Correct Answer: B

Rationale: Homonymous hemianopia, a visual field defect from right brain stroke, causes left-sided vision loss, so the client misses the nurse on the left, unlike arm movement, swallowing, or speech issues.

Question 5 of 5

The nurse is caring for a woman who has internal radiation for cancer of the cervix. Which of the following situations poses the greatest risk for others?

Correct Answer: A

Rationale: Prolonged close contact (daughter's hours-long visit) increases radiation exposure risk. Brief visits, tray setup, or mopping pose minimal risk.

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