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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should be given to the client?

Correct Answer: C

Rationale: Metformin can cause renal problems, and the contrast dye used in cardiac catheterization is nephrotoxic. The medication should be discontinued before the exam and replaced with insulin temporarily.

Question 2 of 5

The client with a cataract has decreased vision due to:

Correct Answer: C

Rationale: Cataracts result from crystalline protein deposits on the lens, causing opacity and vision loss. Other options affect different eye structures.

Extract:

A 78-year-old client is admitted for open reduction of a wrist fracture. That night she is found wandering in the hallway near the fire alarm. When the nurse calls the client's name, the client says, 'If you come any closer to me I'll pull this fire alarm. You're a drug addict. I saw you taking drugs out of the cabinet.'


Question 3 of 5

The best response by the nurse would be:

Correct Answer: A

Rationale: This response addresses safety calmly without escalating the situation.

Extract:

Given Mr. Smith's clinical picture


Question 4 of 5

Which of the following would be the first diagnostic tests that must be performed?

Correct Answer: A

Rationale: Given suspicion of a stroke, the first test to perform would be a CT scan to determine the presence or absence of hemorrhage.

Extract:


Question 5 of 5

A 28-year-old client is being treated with acute pelvic inflammatory disease. Which of the following positions will afford the most comfort for this client?

Correct Answer: C

Rationale: Semi-Fowler's position reduces pelvic pressure and promotes comfort in clients with pelvic inflammatory disease.

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