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

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Question 1 of 5

Oxygen has been ordered for a client who was admitted to the hospital with congestive heart failure. Which assessment finding indicates that the oxygen has been effective?

Correct Answer: B

Rationale: A decreased respiratory rate indicates improved oxygenation, alleviating respiratory distress in congestive heart failure.

Question 2 of 5

Which laboratory result would concern the nurse caring for a client who is receiving furosemide (Lasix)?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, can cause hypokalemia. A potassium level of 2.5 mEq/L is critically low and concerning, risking arrhythmias. Sodium 140, glucose 110, and calcium 8 are within normal ranges.

Question 3 of 5

A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse's best explanation of these findings?

Correct Answer: A

Rationale: These side effects are common and should subside in a few days. Nausea, metallic taste, and fine hand tremors are common side effects that usually subside quickly.

Question 4 of 5

The nurse is preparing to administer a dose of morphine sulfate to a client with postoperative pain. The client reports nausea. The nurse should

Correct Answer: C

Rationale: Nausea is a common side effect of morphine, and administering an antiemetic beforehand (if ordered) prevents discomfort while allowing pain relief. Administering without addressing nausea (
A) is inappropriate, holding the dose (
B) delays pain control, and dilution (
D) is incorrect for IV morphine.

Question 5 of 5

The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:

Correct Answer: C

Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.

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