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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?

Correct Answer: A

Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.

Question 2 of 5

The Doctor writes for a medication that is in oral suspension. The order reads to administer 50 mg by mouth every 4 hours as needed for pain. You're dispended with a bottle that reads 25 mg/2 mL. How many teaspoons per dose will you administer?

Correct Answer: C

Rationale: 50 mg ÷ 25 mg/2 mL = 4 mL. 4 mL ÷ 5 mL/tsp = 0.8 tsp. Other options are incorrect conversions.

Question 3 of 5

The nurse is teaching a client with hypertension about dietary modifications. Which of the following foods should the nurse recommend the client avoid?

Correct Answer: C

Rationale: Canned soups are high in sodium, which exacerbates hypertension by increasing fluid retention and blood pressure. Fresh fruits (
A), whole grains (
B), and lean meats (
D) are low-sodium and appropriate for a hypertension diet.

Question 4 of 5

The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: Pain at McBurney’s point (right lower quadrant) is a classic sign of appendicitis, indicating peritoneal irritation. Epigastric burning (
B) suggests ulcers, loose stools (
C) indicate gastroenteritis, and pain relief lying flat (
D) is nonspecific.

Extract:

Which of the following clients will most likely develop Diabetes Mellitus?


Question 5 of 5

American Indian

Correct Answer: B

Rationale: Diabetes is hereditary, and a family history, such as grandparents with diabetes, increases the likelihood of developing the condition.

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