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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?

Correct Answer: C

Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.

Question 2 of 5

A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What would be the best response by the nurse demonstrating emotional support for the client?

Correct Answer: C

Rationale: Yes, staying with the client and orienting her to her surroundings may decrease her anxiety. The partner's presence can reduce anxiety and confusion.

Question 3 of 5

Which finding, if present, should the nurse interpret to mean that dialysis has achieved the desired results?

Correct Answer: B

Rationale: A drop in blood pressure indicates successful fluid removal during dialysis, a primary goal. Weight gain, urine output, or normal glucose are not direct indicators of dialysis efficacy.

Extract:

Which of the following is correct about DIC?


Question 4 of 5

Which of the following is correct about DIC?

Correct Answer: B

Rationale: DIC involves both clotting and bleeding due to widespread coagulation activation.

Extract:

When providing discharge teaching to a family with AIDS, the nurse should teach the family:


Question 5 of 5

When providing discharge teaching to a family with AIDS, the nurse should teach the family:

Correct Answer: C

Rationale: Normal dishwashing with hot soapy water is sufficient for AIDS patients, as HIV is not transmitted via dishes.

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