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Questions 160

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Tachycardia, hypotension, dry mucous membranes, and cool, clammy skin indicate hypovolemia; increased urine output does not.

Question 2 of 5

After an upper GI X-ray, it is most important for the nurse to monitor which of the following?

Correct Answer: B

Rationale: Barium used in an upper GI X-ray can cause constipation or impaction, so monitoring stool consistency is critical.

Question 3 of 5

A client with a history of anxiety is prescribed lorazepam (Ativan). Which instruction should the nurse include?

Correct Answer: A

Rationale: Lorazepam causes drowsiness, making driving unsafe.

Question 4 of 5

A client is receiving chemotherapy and reports nausea. Which nursing intervention is most appropriate?

Correct Answer: A

Rationale: An antiemetic is the most effective way to manage chemotherapy-induced nausea.

Question 5 of 5

A client with a history of glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?

Correct Answer: A

Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol.

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