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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

When death is imminent, the nurse observes the client for:

Correct Answer: B

Rationale: Cheyne-Stokes respiration, with alternating deep and shallow breathing and apnea, is a common sign of impending death, often linked to cardiac failure. The other signs are less specific. Psychosocial Integrity

Question 2 of 5

A client with AIDS is seen in the emergency room with complaints of mouth pain, difficulty swallowing, and a white discharge in the back of his throat. The nurse would expect the physician to order

Correct Answer: B

Rationale: Symptoms suggest oral candidiasis, common in AIDS. Ketoconazole is the drug of choice for candidiasis. Metronidazole (
A) treats amebiasis, Bactrim (
C) treats Pneumocystis pneumonia, and rifampin (
D) is for tuberculosis, none of which match the symptoms.

Extract:

Ms. Wilson has undergone total thyroidectomy.


Question 3 of 5

Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?

Correct Answer: A

Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.

Extract:


Question 4 of 5

Post-procedure nursing interventions for electroconvulsive therapy include

Correct Answer: C

Rationale: Remaining with client until oriented. The client is groggy and confused post-procedure, requiring close monitoring until fully oriented.

Question 5 of 5

A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:

Correct Answer: A

Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.

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