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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:

When taking the BP of a patient who has AIDS the nurse must:


Question 1 of 5

Wear clean gloves.

Correct Answer: D

Rationale: Blood and body fluid precautions require that hands be washed before and after patient care to minimize the risk of transmission.

Extract:


Question 2 of 5

The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, can cause hypokalemia, increasing the risk of arrhythmias in heart failure patients, so serum potassium must be monitored closely. Glucose (
B), cholesterol (
C), and hemoglobin (
D) are not directly affected by furosemide.

Question 3 of 5

To prevent drug resistance from developing, the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli?

Correct Answer: D

Rationale: Administering two anti-tuberculosis drugs. Resistance of the tubercle bacilli often occurs to a single antimicrobial agent.
Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the organism.

Extract:

A patient regains consciousness and has expressive aphasia.


Question 4 of 5

As a part of the long-range planning, the nurse should:

Correct Answer: A

Rationale: Positive feedback encourages progress in expressive aphasia recovery.

Extract:


Question 5 of 5

The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:

Correct Answer: B

Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.

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