NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Extract:

Fluid shift occurs immediately following the onset of burn.


Question 1 of 5

Nursing assessment indicating fluid shift include:

Correct Answer: B

Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.

Extract:

After a patient has cataract surgery, the nurse should:


Question 2 of 5

After a patient has cataract surgery, the nurse should:

Correct Answer: D

Rationale: Avoiding vigorous activities like brushing prevents increased intraocular pressure post-cataract surgery.

Extract:

The physician prescribes Isordil 10 mg PRN TID and a nitroglycerin transdermal disc once a day for a patient with chronic angina pectoris. The patient asks the nurse why the Isordil is prescribed.


Question 3 of 5

The nurse's best response would be:

Correct Answer: C

Rationale: Isordil, a nitrate, dilates coronary arteries, increasing oxygen delivery to the heart.

Extract:


Question 4 of 5

The nurse is caring for a client who had a total hip replacement 4 days ago. Which assessment requires the nurse's immediate attention?

Correct Answer: B

Rationale: I just can't 'catch my breath' over the past few minutes and I think I am in grave danger.' Sudden onset of shortness of breath in a post-operative client, especially after a total hip replacement, may indicate a pulmonary embolism or other serious respiratory complication, requiring immediate assessment and intervention.

Question 5 of 5

Which client is at risk for the development of pernicious anemia?

Correct Answer: A

Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.

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