NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:

Following a head injury a patient develops a deficiency in anti diuretic hormone (ADH).


Question 1 of 5

Normally secretion of ADH

Correct Answer: A

Rationale: Reabsorption of sodium and water in the tubules decreases urinary output and retains body fluids, preventing diuresis.

Extract:

You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.


Question 2 of 5

You anticipate all of the following to be ordered except:

Correct Answer: D

Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.

Extract:


Question 3 of 5

A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What would be the best response by the nurse demonstrating emotional support for the client?

Correct Answer: C

Rationale: Yes, staying with the client and orienting her to her surroundings may decrease her anxiety. The partner's presence can reduce anxiety and confusion.

Extract:

If intubation is indicated for a patient with bleeding esophageal varices, the type of tube most likely to be used would be a (an):


Question 4 of 5

If intubation is indicated for a patient with bleeding esophageal varices, the type of tube most likely to be used would be a (an):

Correct Answer: D

Rationale: The Sengstaken-Blakemore tube compresses varices to control bleeding.

Extract:

A colleague came in to work in your unit with scent of alcohol in his uniform. When asked, he claimed that on his way to work, a gentleman accidentally spilled a glass of wine on his shirt. However, you noted that his breath smells alcohol.


Question 5 of 5

Which of the following nursing actions will be best for the nurse to take?

Correct Answer: B

Rationale: Informing the supervisor addresses potential impairment, ensuring patient safety.

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