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Questions 164

NCLEX-PN

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Extract:

Laboratory reference ranges
Glucose (fasting)

70-110 mg/dL
(3.9-6.1 mmol/L)


Question 1 of 5

Which of the following tasks can the nurse assign to an unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: Taking vital signs is within UAP scope. First-time ambulation , hypoglycemia , and teaching require nursing judgment.

Extract:


Question 2 of 5

The nurse is giving discharge teaching to a client 7 days post myocardial infarction. He asks the nurse why he must wait 6 weeks before having sexual intercourse. What is the best response by the nurse to this question?

Correct Answer: B

Rationale: There is a risk of cardiac rupture at the point of the myocardial infarction for about 6 weeks. Scar tissue should form about that time. Waiting until the client can tolerate climbing stairs is the usual advice given by health care providers.

Question 3 of 5

The nurse is new to the resident facility and is administering medications. One of the clients does not have a readable identification band in place. What should the nurse do?

Correct Answer: C

Rationale: Asking the roommate provides a reliable secondary identifier in the absence of a readable ID band, ensuring safe medication administration. Self-identification or bed tags are less secure.

Question 4 of 5

A client who is scheduled for surgery today says to the nurse, 'Do you think I'll survive the surgery?' What is the best initial response for the nurse to give?

Correct Answer: B

Rationale: Exploring concerns validates the client's fears, fostering trust and addressing anxiety therapeutically.

Question 5 of 5

The nurse reinforces discharge teaching for the parent of a child newly prescribed methylphenidate for attention-deficit hyperactivity disorder. The nurse advises the parent that the child might experience which side effects?

Correct Answer: C

Rationale: Methylphenidate commonly causes loss of appetite and restlessness . Hypotension , palpitations/weight gain , and cough are less typical.

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