NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

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NCLEX Trainer Test 6 Questions

Extract:


Question 1 of 5

The nurse is caring for an adult who had a cervical laminectomy this morning. In addition to routine vital signs, what should the nurse assess because of the location of the surgery?

Correct Answer: B

Rationale: Cervical laminectomy affects the cervical spine, which innervates upper extremities; assessing hand grasps evaluates neurological function. Pedal pulses, radial pulse, and urine output are unrelated.

Question 2 of 5

The nurse anticipates that for a family who practices Chinese medicine the priority therapeutic goal would be to

Correct Answer: D

Rationale: For followers of Chinese medicine, health is maintained through balance between the forces of yin and yang.

Question 3 of 5

If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?

Correct Answer: C

Rationale: If a central venous catheter is accidentally removed, pressure should be applied to the vein entry site to prevent bleeding and complications.

Question 4 of 5

The nurse is caring for a client with a history of type 2 diabetes who is receiving metformin (Glucophage) 500 mg PO bid. Which of the following laboratory results would be of GREATest concern to the nurse?

Correct Answer: A

Rationale: A creatinine of 2.0 mg/dL indicates renal impairment, increasing the risk of lactic acidosis with metformin, requiring immediate evaluation. Options B, C, and D are less concerning: A1c 7.0% shows fair control, potassium 4.0 mEq/L is normal, and glucose 120 mg/dL is acceptable.

Extract:

A client with hyperthyroidism.


Question 5 of 5

Which of the following actions, if taken by the nurse, is BEST?

Correct Answer: B

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) client is usually sensitive to heat (2) correct-clients with hyperthyroidism frequently exhibit exophthalmos, which requires ophthalmic drops on a regular basis (3) should provide a calm, restful environment with low levels of sensory stimulation, protecting eyes from injury takes priority (4) frequent snacks should be high-calorie

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