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NCLEX Practice Test PN Questions

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Question 1 of 5

The client has been vomiting for several days. Which blood gas values is he likely to have?

Correct Answer: C

Rationale: Prolonged vomiting causes metabolic alkalosis (high pH, low CO2) due to loss of stomach acid, matching pH=7.54, CO2=28, HCO3=22.

Question 2 of 5

A client is prescribed long-term pharmacologic therapy with hydroxychloroquine to treat systemic lupus erythematosus. The nurse should reinforce teaching about which intervention related to the drug's adverse effects?

Correct Answer: A

Rationale: Hydroxychloroquine can cause retinal toxicity. Regular ophthalmologic exams every 6 months are essential to monitor for early signs of retinal damage.

Question 3 of 5

The nurse is talking with a client who has urge incontinence and is receiving tolterodine. It would require immediate follow-up if the client reports

Correct Answer: B

Rationale: Not urinating for an entire workday suggests urinary retention, a serious side effect of tolterodine, requiring immediate evaluation to prevent bladder damage.

Question 4 of 5

The nurse practicing in a maternity setting recognizes that the post mature fetus is at risk due to

Correct Answer: D

Rationale: The placenta functions less efficiently as pregnancy continues beyond 42 weeks. Immediate and long term effects may be related to hypoxia.

Question 5 of 5

The nurse is caring for a client with a vascular access for hemodialysis. Which of these findings necessitates immediate action by the nurse?

Correct Answer: D

Rationale: It is a priority to report this finding since clients on hemodialysis are prone to infection, and the first sign is an elevated temperature.

Similar Questions

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The nurse is caring for a 31-year-old gravida 2, para 1 woman who is in labor. The woman calls the nurse and says, 'My water has broken and I feel something between my legs.' The nurse looks and sees a loop of umbilical cord at the vaginal outlet. After signaling for help, what should the nurse do?
The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first?
The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's net fluid balance? Record your answer using a whole number.
The nurse is discussing preventive health care with a group of women. Which woman should the nurse advise to have a mammogram?

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