NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:

The patient weighed 210 pounds on admission to the hospital. After 2 days of diuretic therapy the patient weighs 205.5 pounds.


Question 1 of 5

The nurse could estimate that the amount of fluid the patients has lost is:

Correct Answer: C

Rationale: 1 pound equals approximately 0.5 L; a 4.5-pound loss equates to about 2 L of fluid.

Extract:


Question 2 of 5

A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 3 of 5

The nurse appropriately removes obstruction in the chest tube by which of the following?

Correct Answer: B

Rationale: Milking gently dislodges clots without causing excessive negative pressure.

Extract:


Question 4 of 5

A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.

Question 5 of 5

The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?

Correct Answer: C

Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.

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