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NCLEX-PN

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Extract:

Binu is a 45-year-old female patient who is admitted with a diagnosis of acute depression. She has history of inability to deal with her divorce.


Question 1 of 5

The nurse would expect that one of the following drugs will be ordered for the patient which is:

Correct Answer: A

Rationale: Elavil (amitriptyline), a tricyclic antidepressant, is commonly used for depression.

Extract:


Question 2 of 5

The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?

Correct Answer: C

Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.

Question 3 of 5

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

Correct Answer: D

Rationale: Unexplained vaginal bleeding is a contraindication for hormone replacement therapy due to potential underlying pathology like endometrial cancer. The other options are not absolute contraindications. Health Promotion and Maintenance

Question 4 of 5

An adult who had a deep vein thrombosis is prescribed warfarin (Coumadin). Which factor in the client's history will be of most concern to the nurse?

Correct Answer: A

Rationale: Osteoarthritis may involve NSAID use, which increases bleeding risk with warfarin, requiring close monitoring.

Extract:

The basic pathophysiologic problem in cirrhosis of the liver causing esophageal varices is:


Question 5 of 5

The basic pathophysiologic problem in cirrhosis of the liver causing esophageal varices is:

Correct Answer: B

Rationale: Portal hypertension causes blood backup, leading to esophageal varices.

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