NCLEX Questions, NCLEX Trainer Test 2 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 2 Questions

Extract:


Question 1 of 5

The nurse is caring for a patient admitted two days ago with a diagnosis of closed head injury. If the patient develops diabetes insipidus, the nurse would observe which of the following symptoms?

Correct Answer: B

Rationale: signs of dehydration, increased output, low specific gravity, normal 1.010-1.030

Extract:

A patient is being treated in the telemetry unit for cardiac disease. The patient is to receive propranolol hydrochloride (Inderal) 20 mg PO at 9 AM. The nurse finds him wheezing with a nonproductive cough and shortness of breath.


Question 2 of 5

INITIALLY, the nurse should

Correct Answer: A

Rationale: Strategy: Determine the outcome of each answer choice. (1) correct-side effects include increased airway resistance, patient is experiencing bronchospasm, should assess then call the physician (2) should assess the patient's condition first (3) experiencing a side effect, medication should not be given (4) medication should be held, experiencing a side effect

Extract:


Question 3 of 5

The greatest threat during the immediate post-burn period results from burn shock. Which of the following statements best describes why burn shock occurs?

Correct Answer: A

Rationale: Burn shock occurs due to histamine release causing vasodilation and increased capillary permeability, leading to fluid loss from the vascular to interstitial space.

Question 4 of 5

The nurse is caring for a client who is receiving a continuous IV infusion of propofol (Diprivan) for sedation. Which of the following findings should the nurse report immediately?

Correct Answer: D

Rationale: An oxygen saturation of 90% indicates hypoxemia, a serious propofol side effect. Options A, B, and C are acceptable.

Question 5 of 5

An adult has been diagnosed with gout. Which comment by the client indicates to the nurse that the client understands management of the condition?

Correct Answer: D

Rationale: Oatmeal is low-purine, suitable for gout management, unlike chicken, liver, or shrimp, which are high-purine and increase uric acid. Nuts are moderate and less ideal.

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