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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The client states, 'My discharge plan leaves me with a lot to do. I don't think I can do it. I'm never good at doing things.' The nurse knows the client lacks:

Correct Answer: D

Rationale: Expressing doubt in ability to manage the discharge plan indicates low self-efficacy, a belief in one's capacity to execute tasks.

Extract:

The mother's condition has deteriorated during labor and a cesarean section is required. Her husband is worried and anxious about the changed of plan and demand for an explanation.


Question 2 of 5

Who among the following should explain the procedure to the husband?

Correct Answer: A

Rationale: The surgeon, as the procedure performer, is best suited to explain the cesarean section.

Extract:


Question 3 of 5

An 8 year-old child is hospitalized during the edema phase of minimal change nephrotic syndrome. The nurse is assisting in choosing the lunch menu. Which menu is the best choice?

Correct Answer: C

Rationale: This menu is lowest in sodium. Ideally, low fat milk would be available.

Question 4 of 5

The nurse is assessing a client with a history of asthma who presents with decreased breath sounds and prolonged expiration. The nurse should prioritize which of the following actions?

Correct Answer: A

Rationale: Decreased breath sounds and prolonged expiration indicate an asthma exacerbation with bronchoconstriction, requiring a bronchodilator to open airways. Coughing (
B) is ineffective during an attack, X-rays (
C) are diagnostic, and supine positioning (
D) worsens breathing.

Question 5 of 5

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

Correct Answer: B

Rationale:
Tolbutamide, an oral hypoglycemic, is effective for type 2 diabetes patients who produce minimal insulin, stimulating insulin release. Type 1 diabetics (
A) produce no insulin, injection inability (
C) is irrelevant, and low blood glucose (
D) is not an indication for tolbutamide.

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