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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is preparing to administer sumatriptan to a client with a migraine headache. Which of the following findings would require follow-up prior to administering the medication?

Correct Answer: B

Rationale: Sumatriptan is contraindicated in uncontrolled hypertension due to the risk of cardiovascular events.

Question 2 of 5

The registered nurse delegates actions related to the care of colostomies to the practical nurse. Which actions should the practical nurse question as being outside the licensed practical nurse's scope of practice? Select all that apply.

Correct Answer: A,D

Rationale: Assessment and initial education require nursing judgment, which is outside the LPN's scope. Other tasks are within their scope.

Question 3 of 5

Which tasks are appropriate for the nurse in a long-term care unit to delegate to unlicensed assistive personnel? Select all that apply.

Correct Answer: C,E

Rationale: Collecting vital signs and recording intake/output are within the scope of unlicensed assistive personnel. Other tasks require nursing judgment or are outside their scope.

Question 4 of 5

The nurse is reinforcing teaching to a client diagnosed with Raynaud phenomenon about ways to prevent recurrent episodes. Which instructions should the nurse include? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Caffeine, tobacco, and cold exposure can trigger Raynaud episodes. Yoga/tai chi and gloves help prevent attacks. Cold water immersion exacerbates symptoms.

Question 5 of 5

The nurse is teaching diet restrictions for a client with Addison's disease. The client would indicate an understanding of the diet by stating

Correct Answer: A

Rationale: The manifestations of Addison's disease due to mineralocorticoid deficiency, resulting from renal sodium wasting and potassium retention, include dehydration, hypotension, hyponatremia, hyperkalemia and acidosis.

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