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

Questions 176

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Extract:


Question 1 of 5

The nurse is caring for a client receiving chemotherapy. The client is prescribed filgrastim to improve the function of the immune system. Which finding does the nurse anticipate in response to the medication?

Correct Answer: C

Rationale: Filgrastim stimulates neutrophil production, so an increase in neutrophil count (
C) is expected. It does not affect uric acid (
A), hemoglobin (
B), or platelets (
D).

Question 2 of 5

The nurse is providing care to a client with posttraumatic stress disorder following a terrorist attack at the client's place of worship. The client says, 'I'm just so worried all the time. I will never be safe again!' What is the priority nursing action?

Correct Answer: A

Rationale: Acknowledging feelings (
A) builds trust and validates the client's experience, making it the priority. Assessing support (
B), discussing trauma (
C), or offering medication (
D) are secondary.

Question 3 of 5

A nurse aide is taking care of a 2 year-old child with Wilm's tumor. The nurse aide asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE ABDOMEN? The best response by the nurse would be which of these statements?

Correct Answer: A

Rationale: Manipulation of the abdomen can lead to dissemination of cancer cells to nearby and distant areas. Bathing and turning the child should be done carefully.

Question 4 of 5

The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?

Correct Answer: B

Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.

Question 5 of 5

Following an arteriogram, the nurse should give priority to:

Correct Answer: D

Rationale: Checking distal pulses ensures adequate circulation post-arteriogram, as the procedure involves arterial puncture, which can lead to complications like hematoma or thrombosis.

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