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Questions 227

NCLEX-PN

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Extract:

Venous drainage:


Question 1 of 5

Venous drainage:

Correct Answer: A

Rationale: Venous drainage involves deoxygenated blood from the upper body returning to the heart.

Extract:


Question 2 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

Correct Answer: D

Rationale: A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like tissue damage or coagulopathy, requiring immediate assessment. The daughter’s threat (
A) is administrative, the overdue assistant (
B) is a personnel issue, and the physician’s request (
C) can be delegated, all of which are lower priority.

Question 3 of 5

Which laboratory result would concern the nurse caring for a client who is receiving furosemide (Lasix)?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, can cause hypokalemia. A potassium level of 2.5 mEq/L is critically low and concerning, risking arrhythmias. Sodium 140, glucose 110, and calcium 8 are within normal ranges.

Question 4 of 5

Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

Correct Answer: D

Rationale: Huntington's chorea is characterized by choreiform movements, including writhing and twisting of the face and limbs, due to basal ganglia degeneration. The other disorders have different motor symptoms. Reduction of Risk Potential

Extract:

Francis went into diabetic coma.


Question 5 of 5

The nurse may observe which one as typical manifestation(s) of ketoacidosis:

Correct Answer: B

Rationale: Deep, rapid respirations are the body's effort to get rid of excess acid through breathing, a hallmark of ketoacidosis.

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