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

Questions 227

NCLEX-PN

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Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?

Correct Answer: C

Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.

Extract:

While caring for a young child in Bryant's traction


Question 2 of 5

The nurse should be aware that the traction is no longer effective if:

Correct Answer: D

Rationale: The principle of Bryant's traction is bilateral 90° hip flexion. It is skin traction applied to the legs to decrease the fracture, maintain alignment, and immobilize both legs. If the hips touch the bed, the traction is not maintaining the required position.

Extract:


Question 3 of 5

The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?

Correct Answer: C

Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.

Extract:

A patient is getting discharged from a long term facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breathe easily.


Question 4 of 5

Which of the following would be the best instruction for this patient?

Correct Answer: A

Rationale: Deep breathing techniques improve oxygenation, critical for COPD patients.

Extract:

If Larissa, an IDDM, is in acute ketoacidosis


Question 5 of 5

The nurse would expect to see which of the following group of symptoms?

Correct Answer: A

Rationale: Ketoacidosis presents with vomiting, thirst, diuresis, and risk of coma due to metabolic acidosis.

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