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Questions 164

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NCLEX Practice Test PN Questions

Extract:

Laboratory results
Glucose (random)

71-200 mg/dL
(3.9–11.1 mmol/L) 58 mg/dL
(3.2 mmol/L)


Question 1 of 5

The nurse is caring for a client with type 2 diabetes mellitus who reports feeling lightheaded and shaky. Which of the following actions should the nurse take next?

Correct Answer: C

Rationale: Lightheadedness and shakiness suggest hypoglycemia. Providing 15 grams of fast-acting carbohydrates, such as 4 oz of fruit juice, is the first-line treatment to raise blood glucose levels quickly.

Extract:


Question 2 of 5

An adult who has hepatitis A asks the nurse why her skin is yellow. The nurse should include which information when replying?

Correct Answer: A

Rationale: Hepatitis A impairs liver function, reducing bilirubin conjugation and excretion, leading to its accumulation in the blood, causing jaundice. The virus does not produce pigment, nor does the liver overproduce bilirubin or excrete waste through skin.

Question 3 of 5

A client with severe hypertension is receiving Capoten (captopril). The nurse should instruct the client to report which of the following to the doctor?

Correct Answer: A

Rationale: A persistent cough is a common side effect of ACE inhibitors like captopril, potentially requiring a change in medication.

Extract:

Laboratory results
Glucose (random)

71-200 mg/dL
(3.9–11.1 mmol/L) 58 mg/dL
(3.2 mmol/L)


Question 4 of 5

The nurse is caring for a client with type 2 diabetes mellitus who reports feeling lightheaded and shaky. Which of the following actions should the nurse take next?

Correct Answer: C

Rationale: Lightheadedness and shakiness suggest hypoglycemia. Providing 15 grams of fast-acting carbohydrates, such as 4 oz of fruit juice, is the first-line treatment to raise blood glucose levels quickly.

Extract:


Question 5 of 5

The nurse is assigning client care tasks to unlicensed assistive personnel. Which statement by the nurse is appropriate?

Correct Answer: A

Rationale: Assigning vital signs for multiple clients is clear, specific, and within the UAP's scope of practice, ensuring safe delegation.

Similar Questions

Which of these tests would the nurse expect to monitor for the evaluation of clients aged 18 and older with poor glycemic control?
The practical nurse collaborates with the registered nurse to perform an admission assessment on a client with Alzheimer disease. Which of the following techniques are appropriate when speaking with this client? Select all that apply.
The nurse is collecting data from a client at 15 weeks gestation who has hyperemesis gravidarum. Which of the following findings would be consistent with the condition?
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?
The nurse in a long-term care facility is talking with a client with multiple sclerosis who states, 'I want to live in my own home again.' Which of the following responses would be most appropriate for the nurse to make?

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