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NCLEX PN Practice Questions Questions

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Question 1 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.

Question 2 of 5

A client is admitted with the diagnosis of pulmonary embolism. While taking a history, the client tells the nurse he was admitted for the same thing twice before, the last time just 3 months ago. The nurse would anticipate the provider ordering

Correct Answer: B

Rationale: vena caval interruption. Clients with contraindications to Heparin, recurrent PE or those with complications related to the medical therapy may require vena caval interruption by the placement of a filter device in the inferior vena cava. A filter can be placed transvenously to trap clots before they travel to the pulmonary circulation.

Question 3 of 5

A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction?

Correct Answer: B

Rationale: The harness straps should only be adjusted by a healthcare provider to ensure proper fit and treatment efficacy. Other statements reflect correct understanding of harness care.

Question 4 of 5

A client is admitted to the recovery room following an exploratory laparotomy. Which medication should be kept nearby?

Correct Answer: B

Rationale: Naloxone (Narcan) should be kept nearby to reverse opioid-induced respiratory depression, common after surgery due to anesthesia or pain management. Nitroprusside , flumazenil , and diphenhydramine are less relevant.

Question 5 of 5

The nurse is reviewing new medication prescriptions for assigned clients. The nurse should clarify the prescription for?

Correct Answer: C

Rationale: Transdermal fentanyl is typically reserved for chronic pain, not acute postoperative pain, and requires clarification.

Similar Questions

A young Spanish-speaking client is experiencing a spontaneous abortion (miscarriage). Which illustrates the best use of an interpreter to explain the situation to the client? Select all that apply.
A behavior modification program is planned for an adolescent who exhibits disruptive behavior. Which action by the nurse is most consistent with a behavior modification program?
The nurse is talking with the parent of an adolescent client who arrived at the emergency department after discovering that the client was involved in a motor vehicle collision. The parent asks about the clients condition. The client is unconscious and is currently receiving CPR. Which of the following responses would be appropriate for the nurse to make?
The nurse is caring for a 5-year-old client with sickle cell disease who is experiencing an episode of acute pain. The client has shortness of breath, nausea with vomiting, and severe generalized body and joint pain. Which of the following findings requires immediate intervention?
The nurse is observing client care situations. Which of the following situations would require an order for physical restraints? Select all that apply.

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