NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse is caring for a client who is at risk for altered fluid balance. Which signs and symptoms of dehydration would the nurse expect to find in this client? Select all that apply.

Correct Answer: B, C

Rationale: Increased hematocrit and orthostatic hypotension are signs of dehydration due to reduced plasma volume, while bounding pulses and decreased urine specific gravity are not typical.

Question 2 of 5

A nurse is caring for a client with Parkinson's disease who takes an MAOI as part of the medication regimen. Which item on the lunch tray would the nurse remove?

Correct Answer: A

Rationale: Cheese contains tyramine, which can cause a hypertensive crisis in clients taking MAOIs. Other items are safe.

Question 3 of 5

When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:

Correct Answer: D

Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers should detect active fetal movement as the fetus is well-developed and mobile.

Question 4 of 5

The nurse is to administer a cleansing enema to a client scheduled for colon surgery. Which client position would be appropriate?

Correct Answer: C

Rationale: The left Sim's position allows the enema solution to flow into the sigmoid colon by gravity, facilitating effective cleansing.

Question 5 of 5

A client has been undergoing treatment for an aggressive cancer. The physicians have stated the chance of recovery is very unlikely. The client states that she prefers to cease all treatments and start palliative care. The nurse supports this decision based on which ethical principle?

Correct Answer: D

Rationale: Autonomy respects the client’s right to make decisions about their treatment, including choosing palliative care over continued aggressive therapy.

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