NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

Which sign might the nurse see in a client with a high ammonia level?

Correct Answer: A

Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential

Question 2 of 5

Upon entering a client's room, the nurse sees and smells smoke and flames. What is the best initial nursing action?

Correct Answer: B

Rationale: Moving the client out of the room prioritizes patient safety, following the RACE (Rescue, Alarm, Contain, Extinguish) fire protocol.

Extract:

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:


Question 3 of 5

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:

Correct Answer: C

Rationale: Broccoli is a good non-dairy source of calcium, important for pregnancy.

Extract:

A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.


Question 4 of 5

The mother has best understood the teaching when she says:

Correct Answer: C

Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.

Extract:


Question 5 of 5

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

Correct Answer: C

Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation

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