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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:


Question 1 of 5

For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:

Correct Answer: B

Rationale: Wearing shoes and natural fiber socks protects diabetic feet and promotes circulation.

Extract:


Question 2 of 5

A client who had a total thyroidectomy this morning is to be admitted to the surgical floor. What should the nurse have readily available when the client arrives?

Correct Answer: A

Rationale: Thyroidectomy risks airway obstruction from swelling or hematoma; a tracheostomy set is essential for emergency airway management.

Extract:

Ms. L had a C-section done. She delivered a healthy baby boy. On her 1st post operative day, Ms. L's roommate called the nurse & reports that Ms. L was very anxious & pale looking. Other clients were in Ms. L's room trying to help out. Upon assessment, her BP was 80/60, HR 110bpm.


Question 3 of 5

The top nursing priority includes:

Correct Answer: A

Rationale: Hypotension and tachycardia suggest postpartum hemorrhage, requiring immediate physician notification.

Extract:


Question 4 of 5

A nurse is caring for a patient with diabetes mellitus who is experiencing hyperglycemia. Which of the following interventions should the nurse implement? (Select all that apply)

Correct Answer: A,B,D,E

Rationale: Insulin corrects hyperglycemia, sugar-free fluids prevent dehydration, monitoring tracks progress, and DKA assessment detects complications. Carbohydrate snacks worsen hyperglycemia.

Question 5 of 5

A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse's immediate attention?

Correct Answer: C

Rationale: Client reports prickling sensation in the right hand. A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.

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