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

Questions 227

NCLEX-PN

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Extract:

To assess the effectiveness of a vasodilator administered to lower hypertension


Question 1 of 5

The nurse should take the client's pulse and blood pressure:

Correct Answer: B

Rationale: Checking 30 minutes post-administration assesses the drug's peak effect on blood pressure.

Extract:


Question 2 of 5

A patient with rheumatoid arthritis is prescribed methotrexate. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Alcohol increases hepatotoxicity risk with methotrexate, a key concern in rheumatoid arthritis treatment. Food timing, vitamin C, and bedtime dosing are not critical.

Extract:

The nurse notes that a patient exhibit the characteristic gait associated with Parkinson's disease.


Question 3 of 5

When recording on the patient's chart, the nurse should describe this gait as:

Correct Answer: C

Rationale: Parkinson's disease causes a shuffling gait due to bradykinesia and rigidity.

Extract:


Question 4 of 5

A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?

Correct Answer: B

Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.

Extract:

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)


Question 5 of 5

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:

Correct Answer: C

Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.

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