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

Questions 227

NCLEX-PN

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Extract:

Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte balance?


Question 1 of 5

Skin turgor

Correct Answer: B

Rationale: Intake and output provide the most direct measure of fluid balance.

Extract:

A male, Hispanic client with history of excessive 'alcohol-drinking', was admitted with a diagnosis of recurrent pancreatitis. On admission, the client was complaining of unbearable pain.


Question 2 of 5

The nurse

Correct Answer: A

Rationale: Demerol is preferred for pancreatitis pain to avoid sphincter of Oddi spasm associated with morphine.

Extract:


Question 3 of 5

Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?

Correct Answer: C

Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.

Question 4 of 5

The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?

Correct Answer: B

Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.

Extract:

Illusion:


Question 5 of 5

Illusion:

Correct Answer: A

Rationale: An illusion is a misperception of a real stimulus, unlike a hallucination.

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