Remar nclex pn question
62 year old client present with dyspnea and blue colored nails and lips. The client has a
suspected history of congested heart failure and is admitted to emergency room. The
client has not been compliant with his medications regimen and state he has not taken
his hydrochlorothiazide for 4 days.
The nurse should anticipate a diagnosis of which of the following?
1. Pneumonia
2. Pulmonary edema
3. Pneumothorax
4. Atelectasis - CORRECT ANSWER-Answer B
A client receiving parenteral nutrition (PN) complains of shortness of breath and
shoulder pain. A nurse notes that the client has an increased pulse rate. The nurse
determines that the client is experiencing which complication of PN therapy?
A. Air embolism.
B. Hypervolemia.
C. Hyperglycemia.
D. Pneumothorax - CORRECT ANSWER-correct answer is D Pneumothorax.
Pneumothorax might happen during a parenteral therapy due to inexact catheter
placement. In order to prevent this, the nurse obtains a chest x-ray after insertion of the
catheter to ensure proper catheter placement.
A nurse is caring for a group of adult clients on an acute care medical-surgical nursing
unit. The nurse understands that which of the following clients would be the least likely
candidate for parental nutrition (PN)?
A. A 66 year old client with extensive burns
B. A 42 year old client who has had an open cholecystectomy
C. A 27 year old client with severe exacerbation of Crohn's Disease
D. A 35 year old client with persistent nausea and vomiting from chemotherapy. -
CORRECT ANSWER-Answer is B. A 42 year old client who has had an open
cholecystectomy. PN is indicated in clients whose gastrointestinal tracts are not
functional or who cannot take in a diet enterally for extended periods. The client with the
open cholecystectomy is not a candidate because this client would resume a regular
diet within a few days following surgery.
The client asks the nurse about various herbal therapies available for the treatment of
insomnia. The nurse should encourage the client to discuss use of which product with
the healthcare provider?
A. Garlic
B. Valerian
C. Lavender
D. Glucosamine - CORRECT ANSWER-answer B
