NCLEX Questions, NCLEX Trainer Test 3 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Question 1 of 5

An alert adult who has terminal cancer says to the home care nurse, 'When the time comes for me to go, I don't want to be in pain and I don't want you to try to resuscitate me. Please promise me you won't.' How should the nurse respond?

Correct Answer: C

Rationale: Asking about advance directives ensures the client's wishes are documented and legally binding, facilitating appropriate end-of-life care.

Question 2 of 5

The nurse is performing a physical assessment on a client with insulin dependent diabetes mellitus. Which client finding calls for immediate nursing action?

Correct Answer: A

Rationale: Diaphoresis and shakiness. Diaphoresis is a sign of hypoglycemia, which warrants immediate attention to prevent severe complications.

Question 3 of 5

An adult who is receiving methotrexate for rheumatoid arthritis asks the nurse why she is receiving methotrexate. What should the nurse include when responding?

Correct Answer: C

Rationale: Methotrexate suppresses the autoimmune response in rheumatoid arthritis, reducing joint inflammation and damage. It is not primarily for pain, fever, or cartilage repair.

Question 4 of 5

Delirium tremens could best be described as

Correct Answer: C

Rationale: An excited state accompanied by disorientation, hallucination and tachycardia. Delirium tremens involves severe withdrawal symptoms, including confusion, hallucinations, and autonomic hyperactivity.

Question 5 of 5

The nurse is participating in a community health fair. As part of the assessments, the nurse should conduct a mental status examination when

Correct Answer: C

Rationale: Conducting any health assessment. A mental status examination is a critical part of baseline health assessments.

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