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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.

Question 2 of 5

The nurse is caring for a client with delirium. Which of the following is most important for the nurse to provide the client?

Correct Answer: A

Rationale: Providing a safe environment is the most important aspect of caring for a client with delirium. Although all other options are logical and appropriate, meeting the client's safety needs takes priority.

Question 3 of 5

The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?

Correct Answer: B

Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.

Question 4 of 5

The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?

Correct Answer: C

Rationale: Nausea and vomiting are typically seen in persons who have appendicitis. The pain of appendicitis is in the right lower quadrant, not the right upper quadrant. The white blood cell count is elevated in the person with appendicitis. The temperature of a person with appendicitis is likely to be a low-grade fever, not a high fever.

Extract:

To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:


Question 5 of 5

Ask the patient to speak.

Correct Answer: A

Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.

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