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

Questions 164

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Extract:


Question 1 of 5

The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.

Correct Answer: A,D,E

Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.

Question 2 of 5

The nurse is talking with a client who has type 1 diabetes mellitus and is receiving newly prescribed continuous subcutaneous insulin infusion therapy via an infusion pump. Which of the following statements by the client would indicate a correct understanding of the therapy?

Correct Answer: C

Rationale: Insulin pumps (
C) provide steady insulin delivery, improving glucose stability. Glucose monitoring (
A) and bolus doses (
B) are still needed, and infusion sets are changed every 2-3 days, not daily (
D).

Question 3 of 5

A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications would the nurse anticipate the provider ordering?

Correct Answer: C

Rationale: Heparin infusion to maintain the PTT at 1.5-2.5 times the control value. In pregnant women with pulmonary embolism, heparin is preferred over warfarin due to warfarin's teratogenic effects. A continuous heparin infusion is typically used to achieve therapeutic anticoagulation, monitored by maintaining the PTT at 1.5-2.5 times the control value.

Question 4 of 5

The nurse is speaking to a client who takes desmopressin nasal spray for diabetes insipidus. Which statement by the client is most important for the nurse to report to the health care provider?

Correct Answer: D

Rationale: Frequent headaches (
D) may indicate overmedication or hyponatremia, requiring urgent reporting. Fluid restriction (
A), colds (
B), and nasal pain (
C) are less critical.

Question 5 of 5

A client who had bowel surgery is to be NPO for several days. The nurse anticipates that the client will have an order for:

Correct Answer: C

Rationale: Parenteral nutrition provides nutrients intravenously for clients NPO post-bowel surgery, bypassing the gastrointestinal tract.

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