NCLEX Questions, NCLEX Trainer Test 1 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Question 1 of 5

The nurse is caring for a client with a history of heart failure who is receiving torsemide (Demadex) 20 mg PO daily. Which of the following laboratory results should the nurse report immediately?

Correct Answer: A

Rationale: Hypokalemia (3.0 mEq/L) is a serious torsemide side effect, risking arrhythmias in heart failure. Options B, C, and D are normal.

Question 2 of 5

A 34-year-old man comes to the clinic for the results of a glycosylated hemoglobin assay (HbA1c). Which statement, if made by the client to the nurse, indicates an understanding of this procedure?

Correct Answer: C

Rationale: when RBCs are being formed, sugar is attached (glycosylated) and remains attached throughout the life of the RBC

Question 3 of 5

The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?

Correct Answer: A

Rationale: At 2 days post-MI, the client's education should be focused on the immediate needs and concerns for the day.

Question 4 of 5

When caring for a client with myasthenia gravis, an important nursing consideration would be to

Correct Answer: D

Rationale: client has increased muscle fatigue, needs more assistance toward end of day

Question 5 of 5

A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications would the nurse anticipate the provider ordering?

Correct Answer: C

Rationale: Heparin infusion to maintain the PTT at 1.5-2.5 times the control value. In pregnant women with pulmonary embolism, heparin is preferred over warfarin due to warfarin's teratogenic effects. A continuous heparin infusion is typically used to achieve therapeutic anticoagulation, monitored by maintaining the PTT at 1.5-2.5 times the control value.

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