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

Questions 227

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Extract:

Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.


Question 1 of 5

The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:

Correct Answer: C

Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.

Extract:


Question 2 of 5

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

Correct Answer: D

Rationale: Fear of reprisal or further violence is a common barrier preventing elderly clients from reporting abuse, due to dependency on the abuser or fear of consequences. The other options are less relevant. Psychosocial Integrity

Extract:

Ms. Wilson has undergone total thyroidectomy.


Question 3 of 5

Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?

Correct Answer: A

Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.

Extract:

The physician prescribes Isordil 10 mg PRN TID and a nitroglycerin transdermal disc once a day for a patient with chronic angina pectoris. The patient asks the nurse why the Isordil is prescribed.


Question 4 of 5

The nurse's best response would be:

Correct Answer: C

Rationale: Isordil, a nitrate, dilates coronary arteries, increasing oxygen delivery to the heart.

Extract:


Question 5 of 5

A client is unconscious following a tonic-clonic seizure. What should the nurse do first?

Correct Answer: C

Rationale: Place the client in a side-lying position to maintain an open airway and prevent aspiration.

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