NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The morning staff of an inpatient psychiatric unit has just completed the change of shift report. The nurse should give priority to assessing the client:

Correct Answer: C

Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and indicates potential toxicity, requiring immediate assessment. Answer A is important but less urgent unless the hallucinations are commanding harm. Answer B is incorrect as the client is only scheduled for therapy, not in immediate danger. Answer D is within normal WBC range and less critical.

Question 2 of 5

The licensed practical nurse is making assignments for the nursing assistant. Which client should be assigned to the nursing assistant?

Correct Answer: B

Rationale: A client with total knee repair is stable and suitable for a nursing assistant's care (e.g., basic mobility, hygiene). Alzheimer's , laparotomy , and diverticulitis require more complex nursing assessments.

Extract:

Which of the following conditions indicate adrenal insufficiency in a critically ill patient?


Question 3 of 5

Hypoglycemia and hyperkalemia.

Correct Answer: A

Rationale: Due to decreased cortisol (anti-insulin) and decreased aldosterone (sodium) levels in Addison's disease, the patient experiences hypoglycemia and hyperkalemia.

Extract:


Question 4 of 5

The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:

Correct Answer: C

Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.

Extract:

Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.


Question 5 of 5

Based on this information, what condition appears to be developing?

Correct Answer: D

Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.

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