Mr. Anderson is a 50-year-old male client who presented to t... | NCLEX PN-Practice Exam-1

Practice Question

Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Due to Mr. Anderson's acute kidney injury (AKI), he received an additional bolus of 1 liter intravenous 0.9% sodium chloride over 1 hour. Upon completion of the infusion, he complains of shortness of breath and an intermittent productive cough. Based on Mr. Anderson's recent vital signs, which of the following interventions does the nurse expect to see in his care plan? Select all that apply.

Answer Choices:

A. Apply oxygen via nasal cannula. ✓ Correct Answer

B. Obtain a chest x-ray.

C. Reduce furosemide dose.

D. Prepare the client for a renal biopsy.

E. Arrange a thoracentesis

Correct Answer:

Apply oxygen via nasal cannula.

Rationale:

😷Sudden shortness of breath and productive cough after a fluid bolus indicate pulmonary edema.

📸Ordering a chest x‐ray confirms the presence of fluid overload in the lungs.

🩺Applying oxygen improves oxygenation when alveoli are flooded with fluid.

🚫Reducing furosemide dose, renal biopsy, and thoracentesis are inappropriate; diuresis—not dose reduction—is indicated, and fluid is intrapulmonary, not pleural.

📌Core Message

Fluid overload from an IV bolus can cause pulmonary edema, requiring oxygen support and a chest x‐ray to confirm.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Mr. Anderson's maintenance intravenous fluid was started at 0930. The practical nurse checks the fluid level at 1100. How much IV fluid did Mr. Anderson receive during that time?

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Which of the following interventions does the nurse anticipate performing? Select all that apply.

Answer Choices:

A. Irrigate the client's NG tube.

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C. Administer furosemide.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. The nurse notifies the physician of Mr. Anderson's oliguria, and new orders are placed. At 1530, Mr. Anderson still has no further urine output. A bladder scan shows approximately 50 mL of urine in the bladder. Based on Mr. Anderson's updated profile, which medications does the nurse anticipate administering? Select all that apply.

Answer Choices:

A. Magnesium sulfate

B. Potassium chloride

C. Spironolactone

D. Calcium gluconate

E. Ibuprofen

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer.

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NCLEX PN-Practice Exam-1

130 Questions

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Question Details

Category: NCLEX PN
Subcategory: NCLEX-PN Practice Exams
Domain: NCLEX-PN (Practice Exams)
Answer Choices: 5

Rhenis Nursing

Practice Question

Correct Answer:

Rationale:

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A nurse is collecting data on a client who is admitted to the inpatient mental health unit. The client is complaining of sleep disturbances, feelings of helplessness, and a loss of appetite. The nurse recognizes these symptoms to be indicative of

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NCLEX PN-Practice Exam-1

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