NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

The clinic nurse is reinforcing client teaching about the tiotropium that has been prescribed for chronic obstructive pulmonary disease (COPD). Which statement indicates that the client has a correct understanding of this medication?

Correct Answer: A

Rationale: Tiotropium is a powder in a capsule used with an inhaler (
A). Rinsing the mouth (
B) is unnecessary, but it's taken daily, not PRN (
C), and it's a bronchodilator, not anti-inflammatory (
D).

Question 2 of 5

The morning weight for a client with emphysema indicates that the client has gained 5 pounds in less than a week, even though his oral intake has been modest. The client's weight gain may reflect which associated complication of COPD?

Correct Answer: B

Rationale: Rapid weight gain in a client with emphysema, despite modest intake, suggests fluid retention, which is commonly associated with cor pulmonale, a complication of COPD involving right heart failure due to lung disease. Answer A (polycythemia) is a blood disorder, not directly linked to weight gain. Answer C (left ventricular failure) is less likely in COPD compared to cor pulmonale. Answer D (compensated acidosis) does not cause weight gain.

Question 3 of 5

The nurse prepares to administer a cleansing enema to a client with constipation. Which interventions are appropriate? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Lubricating the tube (
A), left lateral positioning (
B), retaining the enema (
C), and pausing for cramping (E) are correct for safe administration. Refrigerating the solution (
D) is incorrect; it should be at body temperature.

Question 4 of 5

The nurse is monitoring a client who had an esophagogastroduodenoscopy 2 hours ago. Which finding requires an immediate report to the registered nurse?

Correct Answer: D

Rationale: A temperature spike to 101.2 F (
D) suggests possible perforation or infection, requiring immediate reporting. BP drop (
A) is mild, absent gag reflex (
B) is expected, and sore throat (
C) is normal post-procedure.

Question 5 of 5

The nurse is caring for a client with bulimia nervosa. It would be a priority for the nurse to

Correct Answer: C

Rationale: Monitoring for 1-2 hours after meals (
C) prevents purging, a priority in bulimia management. Time limits (
A) may increase anxiety, overnight checks (
B) are less relevant, and discussing complications (
D) is educational but not immediate.

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