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Exam (elaborations)

Ultimate NCLEX-PN Study Guide | NCLEX-PN Questions and Answers100% CORRECT

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Ultimate NCLEX-PN Study Guide | NCLEX-PN Questions and Answers100% CORRECT

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Ultimate NCLEX-PN Study Guide |
NCLEX-PN Questions and
Answers100% CORRECT
1. Question
Which finding is the best indication that a client with ineffective airway clearance
needs suctioning?

A. Oxygen saturation

B. Respiratory rate

C. Breath sounds
D. Arterial blood gases
Correct Answer: C. Breath sounds
 Option C: Changes in breath sounds such as crackles are the best indication of
the need for suctioning in the client with ineffective airway clearance.
 Options A, B, and D: They can be altered by other conditions.

2. 2. Question
A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The
nurse should tell the client to notify the doctor immediately if he notices:

A. Tingling sensation in the feet

B. Changes in hearing

C. Red discoloration of bodily fluids

D. Changes in color vision
Correct Answer: D. Changes in color vision
 Option D: Myambutol is used in conjunction with at least one other anti TB
drug. An adverse reaction to Myambutol is a change in visual acuity or color
vision.

,  Option A: Peripheral neuropathy is an adverse effect of isoniazid.
 Option B: Ototoxicity is an adverse reaction to Streptomycin.
 Option C: Red discoloration of fluids is a side effect of Rifampin.

3. 3. Question
The primary cause of anemia in a client with chronic renal failure is:

A. Poor iron absorption
B. Destruction of red blood cells

C. Insufficient erythropoietin
D. Lack of intrinsic factor
Correct Answer: C. Insufficient erythropoietin
 Option C: Kidneys produce erythropoietin, a hormone that is responsible for
making red blood cells. When a patient has a chronic renal failure, their
kidneys are damaged and cannot make enough RBC resulting in anemia.
 Option A: Poor iron absorption will result in iron deficiency anemia.
 Option B: Destruction of red blood cells usually results in hemolytic anemia.
 Option D: Lack of intrinsic factor will result in pernicious anemia and vitamin
B12 deficiency.

4. 4. Question
Which of the following nursing interventions has the highest priority for the
client scheduled for an intravenous pyelogram?

A. Providing the client with a favorite meal for dinner
B. Asking if the client has allergies to shellfish
C. Encouraging fluids the evening before the test

D. Telling the client what to expect during the test
Correct Answer: B. Asking if the client has allergies to shellfish
 Option B: The contrast media used during an intravenous pyelogram contains
iodine, which can result in an anaphylactic reaction.
 Options A, C, and D: They do not relate specifically to the test.

5. 5. Question

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