ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
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Questions with Answers and Explanation
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side
effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
Answer C: Tegretol can suppress the bone marrow and decrease the white blood
cell count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side
effects of the drug. Answers A and D are within normal limits, and answer B is a
lower limit of normal; therefore, answers A, B, and D are incorrect.
A 6-month-old client is admitted with possible intussuception. Which
question during the nursing history is least helpful in obtaining information
regarding this diagnosis?
A. “Tell me about his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
Answer C: The least-helpful questions are those describing his usual diet. A, B,
and D are useful in determining the extent of disease process and, thus, are
11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
GUARANTEED SUCCESS NEW UPDATE 2022
,11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
GUARANTEED SUCCESS NEW UPDATE 2022
incorrect.
The nurse is assisting a client with diverticulosis to select appropriate
foods. Which food should be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
Answer C: The client with diverticulitis should avoid foods with seeds. The foods
in answers A, B, and D are allowed; in fact, bran cereal and fruit will help prevent
constipation.
A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
Answer D: The client with a perineal resection will have a perineal incision.
Drains will be used to facilitate wound drainage. This will help prevent infection of
the surgical site. The client will not have an illeostomy, as in answer A; he will
have some electrolyte loss, but treatment is not focused on preventing the loss, so
answer B is incorrect. A high-fiber diet, in answer C, is not ordered at this time.
11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
GUARANTEED SUCCESS NEW UPDATE 2022
,11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
GUARANTEED SUCCESS NEW UPDATE 2022
The znurse zis zperforming zdischarge zteaching zon za zclient zwith
diverticulitis zwho zhas zbeen zplaced zon za zlow-roughage zdiet. zWhich zfood
z
would zhave zto zbe zeliminated zfrom zthis zclient’s zdiet?
z
A. Roasted zchicken
B. Noodles
C. Cooked zbroccoli
D. Custard
Answer zC: zThe zclient zwith zdiverticulitis zshould zavoid zeating zfoods zthat zare
gas zforming zand zthat zincrease zabdominal zdiscomfort, zsuch zas zcooked
broccoli. zFoods zsuch zaszthose zlisted zin zanswers zA, zB, zand zD zare zallowed.
z
The znurse zis zcaring zfor za zclient zscheduled zfor zremoval zof za zpituitary
tumor zusing ztheztranssphenoidal zapproach. zThe znurse zshould zbe
z
particularly zalert zfor:
z
A. Nasal zcongestion
B. Abdominal ztenderness
C. Muscle ztetany
D. Oliguria
Answer zA: zRemoval zof zthe zpituitary zgland zis zusually zdone zby za
transsphenoidal zapproach, zthrough zthe znose. zNasal zcongestion zfurther zinterferes
z
with zthe zairway. zAnswers zB, zC, zand zD zareznot zcorrect zbecause zthey zare znot
z
directly zassociated zwith zthe zpituitary zgland.
z
11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
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, 11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
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A zclient zwith zcancer zis zadmitted zto zthe zoncology zunit. zStat zlab zvalues zreveal
Hgb z12.6, zWBC z6500, zK+ z1.9, zuric zacid z7.0, zNa+ z136, zand zplatelets z178,000.
z
The znurse zevaluates zthat zthezclient zis zexperiencing zwhich zof zthe zfollowing?
z
E. Hypernatremia
F. Hypokalemia
G. Myelosuppression
H. Leukocytosis
Answer zB: zHypokalemia zis zevident zfrom zthe zlab zvalues zlisted. zThe zother
laboratory zfindings zarezwithin znormal zlimits, zmaking zanswers zA, zC, zand
z
Dincorrect.
z
11111 NCLEX-PN TESTBANK EXAM QUESTIONS AND
ANSWERS 100% CORRECTLY/VERIFIED GRADED A+
GUARANTEED SUCCESS NEW UPDATE 2022