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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?

Correct Answer: B

Rationale: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.

Extract:

Calculation of fluid replacement in bum is based on the patient's


Question 2 of 5

Age

Correct Answer: D

Rationale: Calculation of fluid replacement in burns is based on weight and body surface area (BS
A) burn, often using the rule of nines to calculate burn area.

Extract:


Question 3 of 5

The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:

Correct Answer: C

Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.

Extract:

At the well-baby clinic, the nurse follows certain sequence of the baby's assessment


Question 4 of 5

The nurse follows certain sequence of the baby's assessment that includes:

Correct Answer: D

Rationale: Assessing temperature first avoids influencing it, followed by weight, respiratory rate, and heart rate for a comprehensive evaluation.

Extract:


Question 5 of 5

A nurse is administering heparin subcutaneously to a patient. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Heparin is injected into the abdomen for consistent absorption, avoiding muscle tissue. Aspiration risks bleeding, massaging causes bruising, and a shorter needle (e.g., 5/8 inch) is used.

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