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Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for several hospitalized children with the following diagnoses. Which disorder is likely to result in metabolic acidosis?

Correct Answer: A

Rationale: Severe diarrhea is the only problem listed that can lead to metabolic acidosis if untreated.

Question 2 of 5

An adult client who is ambulating in the corridor with the nurse becomes dizzy and faint. What should the nurse do at this time?

Correct Answer: C

Rationale: Guiding the client to a chair prevents falls and ensures safety during dizziness. Head positioning, seeking help, or faster walking are unsafe or impractical.

Extract:

Vital signs
Temperature 98.4 F (36.9 C)
Blood pressure 124/78 mm Hg
Heart rate 46/min and irregularly irregular
Respirations 22/min


Question 3 of 5

The nurse is preparing to administer medications to a client admitted with atrial fibrillation. The nurse notes the vital signs shown in the exhibit. Which medications due at this time are safe to administer? Select all that apply.

Correct Answer: A,B,E

Rationale: Without specific vital signs, diltiazem (rate control), heparin (anticoagulation), and timolol (glaucoma, not cardiac) are generally safe in atrial fibrillation unless contraindicated (e.g., severe hypotension). Lisinopril and metoprolol require caution if hypotensive or bradycardic, but no exhibit data suggests otherwise.

Extract:


Question 4 of 5

Which of the following medications would be least helpful for a client who is experiencing an acute attack of bronchial asthma?

Correct Answer: A

Rationale: Cromolyn sodium prevents asthma attacks but is not effective for acute attacks. Epinephrine, metaproterenol, and theophylline provide rapid bronchodilation.

Question 5 of 5

Written instructions to pregnant women include instructions to perform Kegel exercises. One of the women asks the nurse why these exercises are important. The nurse should reply that the purpose of these exercises is to:

Correct Answer: B

Rationale: Kegel exercises strengthen pelvic floor muscles, supporting bladder control and aiding postpartum recovery, directly addressing their purpose.

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