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NCLEX-PN

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Extract:

On the day of surgery, the nurse noted the following laboratory results.


Question 1 of 5

Which one should be reported to the surgeon immediately?

Correct Answer: B

Rationale: Elevated WBC is a sign of infection, which requires immediate reporting to the surgeon to assess the need to postpone surgery.

Extract:


Question 2 of 5

The nurse is assessing a client with a history of migraines. Which of the following symptoms would the nurse expect the client to report?

Correct Answer: B

Rationale: Migraines typically cause unilateral throbbing pain with photophobia and nausea due to neurological sensitivity. Bilateral dull pain (
A) suggests tension headache, constant pain (
C) indicates chronic headache, and activity (
D) worsens migraines.

Question 3 of 5

The nurse is preparing to discharge a client who is receiving Nardil (phenelzine). The nurse should tell the client to:

Correct Answer: B

Rationale: Drug interactions between an MAOI and pseudoephedrine can result in hypertensive crisis. Answer A refers to the client receiving antipsychotic medications such as Thorazine, so it is incorrect. Answers C and D do not apply to MAOIs, so they are incorrect.

Extract:

Anaphylactic shock is a serious type of blood transfusion reaction.


Question 4 of 5

The pathophysiology of anaphylaxis is

Correct Answer: D

Rationale: Anaphylaxis involves vasodilation and bronchoconstriction, leading to hypotension and respiratory distress.

Extract:


Question 5 of 5

The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions?

Correct Answer: B

Rationale: Increasing oral fluid intake to 3000 cc per day. Secretion removal is enhanced with adequate hydration, which thins and liquefies secretions.

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