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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

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

Correct Answer: B

Rationale: Dehydration causes tachycardia and hypotension due to reduced blood volume. Moist mucous membranes (
A) and clear urine (
C) indicate hydration, and weight gain (
C) suggests fluid retention, not dehydration.

Question 2 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.

Extract:

Glucocorticoids:


Question 3 of 5

Glucocorticoids:

Correct Answer: A

Rationale: Cortisol is the primary glucocorticoid, regulating metabolism and stress response.

Extract:


Question 4 of 5

A couple trying to conceive asks the nurse when ovulation occurs. The woman reports a regular 32 day cycle. Which response by the nurse is correct?

Correct Answer: D

Rationale: Days 17-19. Ovulation occurs 14 days prior to menses. Considering that the woman's cycle is 32 days, subtracting 14 from 32 suggests ovulation is at about the 18th day.

Question 5 of 5

The nurse is preparing to discharge a client with a new diagnosis of atrial fibrillation. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Monitoring pulse regularly helps detect irregular rhythms or rate changes in atrial fibrillation, aiding early intervention. Caffeine (
A) moderation is advised, vigorous exercise (
B) may be unsafe, and aspirin (
C) requires a prescription.

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