2022/2023 NCLEX-PN Test Prep (Exam 1) Questions and Answers with Explanations

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2022/2023 NCLEX-PN Test Prep (Exam 1) Questions and Answers with Explanations 1. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recogn... izes that the suicidal client has difficulty: A. Expressing feelings of low self-worth B. Discussing remorse and guilt for actions C. Displaying dependence on others D. Expressing anger toward others Answer D: The suicidal client has difficulty expressing anger toward others. The depressed suicidal client frequently expresses feelings of low self-worth, feelings of remorse and guilt, and a dependence on others; therefore, answers A, B, and C are incorrect. 2. A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: A. Pear B. Apple C. Orange D. Banana Answer D: Answers A, B, and C are incorrect because they contain lower amounts of potassium. (Note that the banana contains 450mg K+, the orange contains 235mg K+, the pear contains 208mg K+, and the apple contains 165mg K+.) 3. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should: A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows B. Encourage the client to turn her head side to side, to promote drainage of oral secretions C. Maintain the client in a supine position with sandbags placed on either side of the head and neck D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position Answer A: Following a thyroidectomy, the client should be placed in semiFowler’s position to decrease swelling that would place pressure on the airway. Answers B, C, and D are incorrect because they would increase the chances of post-operative complications that include bleeding, swelling, and [Show More]

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