Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years.

The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)

Leads an aerobics class.

Increase in age.

Body mass index of 22

History of diabetes mellitus.

Hyperlipidemia

Answer and Explanation

Correct Answer : B,D,E

A.   Leading an aerobics class typically contributes to better cardiovascular health and may not directly correlate with an increase in blood pressure.
B.   An increase in age is a common factor associated with an elevation in blood pressure.
C.   Having a body mass index (BMI) of 22, which falls within the healthy range, might not significantly contribute to a substantial increase in blood pressure.
D.   History of diabetes mellitus can contribute to changes in blood pressure over time.
E.   Hyperlipidemia, especially if poorly managed, can lead to an elevation in blood pressure.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Allowing the client to go to the bathroom independently may pose a safety risk, particularly if the labor progresses rapidly or if she experiences increased discomfort.
B. Assisting the client to the bathroom might not be advisable if she is in active labor, as her condition can change quickly, and she may need immediate access to care.
C. Offering the client a bedpan or urinal would allow for bladder emptying but may not address the urgency of her desire to ambulate.
D. Encouraging the client to hold off until she is further dilated is appropriate, as a full bladder can impede labor progression and lead to complications. This allows for monitoring and assessment of her condition, ensuring that she remains safe and that labor can continue effectively.

A. Mood alterations. B. Hearing loss. C. Impaired cognition. D. Memory loss.

Correct Answer is ["A"]

Explanation

A. Mood alterations, including irritability and emotional lability, are common in individuals with Cushing's syndrome due to hormonal imbalances.
B. Hearing loss is not a known symptom or manifestation of Cushing's syndrome.

C. Impaired cognition might occur but isn't typically associated with overt anger or mood swings.
D. Memory loss isn't a primary symptom of Cushing's syndrome.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

Correct Answer is ["A"]

Explanation

The practical nurse (PN) is reviewing instructions for the use of pilocarpine eye drops with a client who has glaucoma. The client states, "I should use these drops to anesthetize my eye if I experience eye pain." Which action should the PN implement?

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus. Which finding indicates that the PN should obtain a capillary glucose measurement to assess for hypoglycemia?

The practical nurse (PN) is assisting with the preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)

The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?