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Questions 227

NCLEX-PN

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Extract:

If your patient is in pain most of the day, administer analgesic doses


Question 1 of 5

If your patient is in pain most of the day, administer analgesic doses

Correct Answer: B

Rationale: Regularly scheduled analgesics maintain consistent pain control.

Extract:


Question 2 of 5

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

Correct Answer: D

Rationale: Observe a return demonstration. This is the best way to confirm the client has learned the proper psychomotor skill.

Question 3 of 5

The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?

Correct Answer: C

Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.

Extract:

Which of the following data reflects that fluid resuscitation on B.C was effective?


Question 4 of 5

Urine output of 300 cc/24H; increased BUN, increased Na+ level.

Correct Answer: C

Rationale: Urine output of 30 cc/hour, decreased BUN, and decreased Na+ level reflect kidney perfusion, indicating effective fluid resuscitation.

Extract:

Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.


Question 5 of 5

The nurse should

Correct Answer: C

Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.

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