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Questions 227

NCLEX-PN

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NCLEX-PN Practice Questions Free Questions

Extract:

Which of the following data reflects that fluid resuscitation on B.C was effective?


Question 1 of 5

Urine output of 300 cc/24H; increased BUN, increased Na+ level.

Correct Answer: C

Rationale: Urine output of 30 cc/hour, decreased BUN, and decreased Na+ level reflect kidney perfusion, indicating effective fluid resuscitation.

Extract:

A patient with CAD has a sudden episode of cyanosis & a change in respiration.


Question 2 of 5

The nurse starts O2 administration immediately. In this situation:

Correct Answer: B

Rationale: Cyanosis and respiratory changes justify immediate oxygen administration in CAD patients.

Extract:


Question 3 of 5

A nurse is assessing a patient who has been receiving morphine for pain management. Which of the following findings indicates a need for immediate intervention?

Correct Answer: C

Rationale: A respiratory rate of 10 breaths per minute indicates respiratory depression, a life-threatening side effect of morphine, requiring immediate intervention (e.g., naloxone). Drowsiness, constipation, and nausea are expected but less urgent.

Question 4 of 5

A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

Correct Answer: D

Rationale: Morton's neuroma is a benign mass in a digital nerve of the foot, causing pain and difficulty walking. The other conditions involve different foot pathologies. Basic Care and Comfort

Extract:

When assessing for complications of hyperparathyroidism, the nurse should monitor the patient for:


Question 5 of 5

Tetany

Correct Answer: D

Rationale: Hyperparathyroidism causes calcium release from the bones, leaving them porous and weak, leading to bone destruction.

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