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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?

Correct Answer: A

Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.

Question 2 of 5

A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor closely?

Correct Answer: B

Rationale: Hydrochlorothiazide can cause hypokalemia; monitoring potassium levels is essential.

Question 3 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

Question 4 of 5

A non-English-speaking Hispanic client is admitted to the hospital to rule out myocardial infarction. The nurse performs a cultural assessment. Which information should be included? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Food preferences, primary language, religion, and pain status are relevant for culturally sensitive care and effective communication.

Question 5 of 5

A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?

Correct Answer: A

Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.

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