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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

Correct Answer: D

Rationale: Blood at the urethral meatus suggests trauma, contraindicating catheterization. A urologist consult is necessary for specialized evaluation and management. Physiological Adaptation

Extract:

A patient with a diagnosis of bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness.


Question 2 of 5

The nurse checks lab work for

Correct Answer: B

Rationale: Symptoms suggest hyponatremia from excessive water intake, requiring electrolyte assessment.

Extract:


Question 3 of 5

The nurse is caring for a client who had knee surgery this morning. Postoperative orders include a narcotic every three to four hours as needed for operative site pain and an ice bag. At 7:00 P.M., the client asks for pain medication. He was last medicated at 3:30 P.M. What is the best initial nursing action?

Correct Answer: B

Rationale: Assessing pain location and nature ensures the medication is appropriate for operative site pain, guiding safe administration. Administering without assessment, refilling ice, or repositioning are premature.

Question 4 of 5

The nurse is caring for a client with a history of diverticulitis. Which of the following dietary recommendations should the nurse provide to prevent flare-ups?

Correct Answer: C

Rationale: A high-fiber diet promotes regular bowel movements and reduces pressure in the colon, preventing diverticulitis flare-ups. Nuts and seeds (
A) may irritate diverticula, a low-fiber diet (
B) worsens symptoms, and dairy restriction (
D) is unnecessary unless lactose intolerant.

Extract:

Liquid iron preparation


Question 5 of 5

Liquid iron preparation, which of the following directions would be appropriate for the nurse to teach?

Correct Answer: C

Rationale: Using a straw prevents tooth staining from liquid iron.

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