NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The physician has ordered sodium warfarin for the client with thrombophlebitis. The order should be entered to administer the medication at:

Correct Answer: C

Rationale: Warfarin is typically given in the late afternoon to align with INR monitoring.

Question 2 of 5

In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:

Correct Answer: D

Rationale: Pitocin is effective if it promotes progressive cervical dilation, correcting secondary dystocia.

Question 3 of 5

The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?

Correct Answer: C

Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.

Question 4 of 5

The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?

Correct Answer: D

Rationale: should eat at regular time; remain in the seclusion room for client’s safety

Question 5 of 5

The nurse is caring for a client with amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease). The nurse should give priority to:

Correct Answer: A

Rationale: Respiratory muscle weakness in ALS can lead to respiratory failure, making respiratory status assessment the priority.

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