NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Extract:


Question 1 of 5

Which instructions should the nurse include when reinforcing discharge teaching to a client with peptic ulcer disease due to Helicobacter pylori infection? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Avoiding irritants (
A), abstaining from alcohol (
B), reporting melena (
C), and completing the antibiotic regimen (
D) are critical for managing H. pylori-related peptic ulcer disease.

Question 2 of 5

The nurse is preparing to administer the fourth dose of IV vancomycin to a client. Which set of laboratory values would alert the nurse to hold the vancomycin and notify the health care provider?

Correct Answer: D

Rationale: A vancomycin trough of 23 mg/L is above the therapeutic range (10-20 mg/L), indicating potential toxicity. Elevated creatinine (1.5 mg/dL) suggests renal impairment, which increases the risk of vancomycin accumulation and nephrotoxicity.

Question 3 of 5

The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first?

Correct Answer: D

Rationale: Smoking cessation. Stopping smoking is the priority for clients at risk for cardiac disease, because of its effects of reducing oxygenation and constricting blood vessels.

Question 4 of 5

A nurse is admitting a client at 42 weeks gestation to the labor and delivery unit for induction of labor. What is a predictor of a successful induction?

Correct Answer: A

Rationale: A Bishop score of 10 indicates a favorable cervix (soft, dilated, effaced, anterior), predicting a higher likelihood of successful induction.

Question 5 of 5

The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting is:

Correct Answer: C

Rationale: Suction pressure of 80-120 mm Hg is recommended for adult tracheostomy suctioning to effectively remove secretions without causing trauma.

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