NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:

Which of the following indicate that the patient with Guillain Barre Syndrome is recovering?


Question 1 of 5

Which of the following indicate that the patient with Guillain Barre Syndrome is recovering?

Correct Answer: B

Rationale: Movement of toes and fingers indicates improving motor function, a sign of recovery.

Extract:


Question 2 of 5

A depressed client in an assisted living facility tells the nurse that 'life isn't worth living anymore.' What is the best response to this statement?

Correct Answer: B

Rationale: It is appropriate and necessary to determine if someone who has voiced thoughts about death is considering a suicidal act. This response is most therapeutic in the circumstances.

Question 3 of 5

The nurse notes all of the following. Which situation needs immediate attention?

Correct Answer: C

Rationale: A water spill near an ambulatory client's bed poses an immediate fall risk, requiring prompt attention. Linen, dishes, or bed height are less urgent.

Question 4 of 5

A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Respecting the patient’s decision upholds autonomy and ethical practice. Administering or persuading against beliefs violates rights, and ignoring wishes dismisses patient-centered care.

Question 5 of 5

The nurse is caring for a client with a deep vein thrombosis (DVT) who is receiving heparin therapy. Which of the following laboratory values should the nurse monitor closely?

Correct Answer: B

Rationale: Heparin’s anticoagulant effect is monitored via aPTT, with a therapeutic range of 1.5–2.5 times the control value to ensure effective DVT treatment without bleeding risk. PT/INR (A,
C) monitor warfarin, and platelet count (
D) is monitored for heparin-induced thrombocytopenia but is secondary.

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