NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Question 1 of 5

The nurse is caring for a client with a history of type 2 diabetes who is receiving sitagliptin (Januvia) 100 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?

Correct Answer: C

Rationale: Upper abdominal pain may indicate pancreatitis, a rare but serious side effect of sitagliptin, requiring immediate evaluation. Options A, B, and D are less concerning: headaches and fatigue are nonspecific, and taking with breakfast is acceptable.

Question 2 of 5

The nurse is caring for a 74-year-old man with type I diabetes. The client is scheduled for cataract surgery under general anesthesia at 9 AM. The man usually receives 30 units of NPH and 10 units of regular insulin each morning at 7 AM. At 7 AM the morning of surgery, the nurse would expect to take which of the following actions?

Correct Answer: A

Rationale: usually use sliding scale with regular insulin based on blood glucose readings

Question 3 of 5

The nurse knows which of the following is an important consideration in the care of a newborn with fetal alcohol syndrome?

Correct Answer: D

Rationale: frequently, maternal diet is poor, and infant is malnourished; adequate intake of B complex vitamins is necessary for normal CNS function

Question 4 of 5

A client is receiving a blood transfusion. Fifteen minutes after the transfusion begins, the client develops a fever and chills. Which of the following actions should the nurse take FIRST?

Correct Answer: A

Rationale: fever and chills may indicate a transfusion reaction, and the transfusion must be stopped immediately

Question 5 of 5

A patient is returned to his room following an appendectomy. The nurse notices a large amount of serosanguineous drainage on the dressing. It is MOST important for the nurse to obtain an answer to which of the following questions?

Correct Answer: D

Rationale: drain is frequently placed during surgery to prevent accumulation in wound, dressing should be reinforced

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