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

Questions 164

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Extract:


Question 1 of 5

The nurse is caring for a newborn with jaundice who is being treated with phototherapy. What action by the nurse would require the charge nurse to intervene?

Correct Answer: B

Rationale: Clothing during phototherapy reduces skin exposure to light, decreasing treatment efficacy.

Question 2 of 5

The health care provider has prescribed spironolactone to be given in addition to hydrochlorothiazide to a client with hypertension. Which finding by the nurse indicates that the spironolactone is having the desired effect?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, so a normal potassium level indicates it is counteracting the potassium loss from hydrochlorothiazide.

Question 3 of 5

The nurse is reinforcing discharge instructions to the parent of a child with Kawasaki disease. The nurse informs the parent that the presence of which symptom should be immediately reported to the health care provider?

Correct Answer: A

Rationale: Fever in Kawasaki disease may indicate persistent inflammation or complications, requiring immediate reporting.

Question 4 of 5

A nurse is discharging a client who is receiving lithium for treatment of a bipolar disorder. It is most important for the nurse to reinforce which instruction to the client?

Correct Answer: D

Rationale: Lithium can cause polyuria and polydipsia due to its effect on renal function. These symptoms may indicate lithium toxicity or diabetes insipidus, which require immediate medical attention.

Question 5 of 5

The nurse is preparing to flush a client's central venous catheter. Which size syringe is best for the nurse to choose?

Correct Answer: C

Rationale: A 10 mL syringe is recommended to avoid excessive pressure that could damage the catheter.

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