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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

Which of the following lab reports indicates that a client with acute glomerulonephritis is improving?

Correct Answer: D

Rationale: A decreased erythrocyte sedimentation rate indicates reduced inflammation, suggesting improvement in acute glomerulonephritis.

Extract:

The physician orders high protein, high calorie and high salt diet on Valerie.


Question 2 of 5

When ask by the patient, the nurse would explain that

Correct Answer: D

Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.

Extract:


Question 3 of 5

The nurse is caring for a preschooler who needs stitches resulting from an injury received during play in the yard. What would be the most appropriate way to prepare the child for the treatment he will receive?

Correct Answer: B

Rationale: Play-based explanation with dolls engages a preschooler's developmental level, effectively preparing them for stitches.

Extract:

A nurse is administering blood to a patient who has a low hemoglobin count.


Question 4 of 5

The patient asks how long the RBC last in the body? The correct response is:

Correct Answer: D

Rationale: Red blood cells have a lifespan of approximately 120 days.

Extract:


Question 5 of 5

The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?

Correct Answer: A

Rationale: A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (
B), spasticity (
C), and numbness (
D) are expected or less urgent.

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