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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).


Question 1 of 5

Priority nursing care on the patient with PIH include:

Correct Answer: C

Rationale: Low urine output (335 ml/24 hours) indicates possible renal involvement in PIH, a priority for monitoring and reporting to prevent further complications.

Extract:


Question 2 of 5

A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?

Correct Answer: A

Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.

Question 3 of 5

Right documentation includes the name, dosage, route, and time of administration. When should you sign your initials on the medication administration record?

Correct Answer: B

Rationale: Signing immediately after administration confirms the dose was given, ensuring accurate documentation. Signing before risks errors, and waiting an hour delays accuracy.

Extract:

The physician has ordered IV replacement of potassium for a patient with severe hypokalemia.


Question 4 of 5

The nurse would administer the IV potassium

Correct Answer: B

Rationale: Potassium is diluted and infused slowly to prevent cardiac arrhythmias.

Extract:


Question 5 of 5

A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?

Correct Answer: D

Rationale: The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.

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