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Questions 160

NCLEX-PN

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Question 1 of 5

The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?

Correct Answer: A

Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.

Question 2 of 5

A client with a history of angina is prescribed nitroglycerin tablets. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking up to three doses 5 minutes apart is the correct protocol for persistent chest pain.

Question 3 of 5

Which culturally sensitive nursing technique is best for determining whether a male Jewish client follows the religious orthodox customs?

Correct Answer: B

Rationale: Inquiring about dietary preferences (e.g., kosher laws) is a sensitive way to assess adherence to Orthodox Jewish customs.

Question 4 of 5

A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?

Correct Answer: A

Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.

Question 5 of 5

The nurse is assessing a client with suspected anaphylactic shock. Which finding is most concerning?

Correct Answer: A

Rationale: Wheezing indicates airway constriction, a life-threatening sign in anaphylactic shock.

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