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NCLEX-PN

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Extract:


Question 1 of 5

The doctor has ordered a stool specimen for culture. When collecting a stool specimen, the nurse should:

Correct Answer: A

Rationale: Extracting from the center ensures a representative sample for culture. Other methods risk contamination or improper handling.

Question 2 of 5

A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.

Question 3 of 5

A client calls the evening health clinic to state 'I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.' What should be the nurse's initial response to the client?

Correct Answer: B

Rationale: When a client has changed from stable to unstable, the nurse's initial response should be to do further assessment of the client.

Question 4 of 5

A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?

Correct Answer: C

Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.

Extract:

Which of the following data reflects that fluid resuscitation on B.C was effective?


Question 5 of 5

Urine output of 300 cc/24H; increased BUN, increased Na+ level.

Correct Answer: C

Rationale: Urine output of 30 cc/hour, decreased BUN, and decreased Na+ level reflect kidney perfusion, indicating effective fluid resuscitation.

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