NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client's infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic, tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects

Correct Answer: D

Rationale: Abrupt cessation of TPN can cause hypoglycemia due to persistent insulin secretion, leading to diaphoresis, tachycardia, weakness, and dizziness.

Question 2 of 5

A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse's response is based on the knowledge that:

Correct Answer: B

Rationale: Pregnancy increases thyroid gland size, often requiring adjusted thyroid medication doses.

Question 3 of 5

The nurse is caring for a client with Crohn's disease. How should the nurse educate the client regarding nutrition and hydration?

Correct Answer: C

Rationale: High-calorie, low-fiber, high-protein, and high-vitamin foods support nutrition in Crohn’s disease while minimizing irritation to the inflamed bowel.

Question 4 of 5

Which of the following findings would be expected in the infant with biliary atresia?

Correct Answer: C

Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.

Question 5 of 5

A new nurse has just completed orientation and is working on the medical unit. The new nurse is shadowing the charge nurse as they both care for a client with a potassium level of 6.3 mEq/L. Which action by the new nurse requires intervention by the charge nurse?

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic and could worsen hyperkalemia (potassium 6.3 mEq/L). The other actions are appropriate for managing hyperkalemia or general care.

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