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

Questions 176

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Extract:


Question 1 of 5

The nurse is caring for a hospitalized client diagnosed with thyrotoxicosis (thyroid storm). Which action is most appropriate to assign to unlicensed assistive personnel?

Correct Answer: B

Rationale: Lowering room temperature (
B) is within UAP scope and helps manage hyperthermia. Calling family (
A), teaching (
C), and applying a warming blanket (
D) are inappropriate or require nursing judgment.

Question 2 of 5

The nurse is caring for a client who has a prescription for ampicillin 1.5 g IV in 100 mL of 0.9% sodium chloride to be administered over 30 minutes. The nurse has tubing with a drop factor of 15 available. How many gtts/min should the client receive? Record your answer using a whole number.

Correct Answer: 50

Rationale: Flow rate = (100 mL / 30 min) x (15 gtts/mL) = 50 gtts/min (
A).

Question 3 of 5

The nurse is caring for a client receiving chemotherapy. The client is prescribed filgrastim to improve the function of the immune system. Which finding does the nurse anticipate in response to the medication?

Correct Answer: C

Rationale: Filgrastim stimulates neutrophil production, so an increase in neutrophil count (
C) is expected. It does not affect uric acid (
A), hemoglobin (
B), or platelets (
D).

Question 4 of 5

Which of the following clients does the nurse identify as being at high risk for developing colorectal cancer? Select all that apply.

Correct Answer: A, C, E

Rationale: High red meat/low fiber diet (
A), ulcerative colitis (
C), and family history (E) are established risk factors for colorectal cancer. Obesity (
B) and smoking (
D) have weaker associations.

Question 5 of 5

During the immediate postoperative period after a colostomy, which stoma appearance requires the licensed practical nurse to contact the supervising registered nurse immediately?

Correct Answer: B

Rationale: A dusky stoma (
B) indicates ischemia, requiring immediate reporting. Brick red (
A), pink with oozing (
C), and no stool (
D) are normal post-colostomy findings.

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