Free NCLEX-RN Exam Braindumps
National Council Licensure Examination - NCLEX-RN Questions 203–205 (page: 83)

Updated On: 9-Feb-2026

A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, "What does salt have to do with high blood pressure?'' the nurse's initial response would be:

  1. "The reason is not known why hypertension is associated with a high-salt diet."
  2. "Large amounts of salt in your diet can cause you to retain fluid, which increases your blood pressure."
  3. "Salt affects your blood vessels and causes your blood pressure to be high."
  4. "Salt is needed to maintain blood pressure, but too much causes hypertension."

Answer(s): B

Explanation:

(A) This response is untrue. (B) Decreasing salt intake reduces fluid retention and decreases blood pressure. (C) Salt does not have an effect on the blood vessels themselves, but on fluid retention, which accompanies salt intake. (D) This response is untrue.



The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:

  1. Oxytocin (Pitocin)
  2. Progesterone
  3. Vasopressin (Pitressin)
  4. Ergonovine maleate

Answer(s): A

Explanation:

(A) Oxytocin is a hormone secreted by the neurohypophysis during suckling and parturition that produces strong uterine contractions. (B) Progesterone has a quiescence effect on the uterus. (C) Vasopressin is an antidiuretic hormone that promotes water reabsorption by the renal tubules. (D) Ergonovine produces dystocia as a result of sustained uterine contractions.



The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:

  1. Oxytocin (Pitocin)
  2. Progesterone
  3. Vasopressin (Pitressin)
  4. Ergonovine maleate

Answer(s): A

Explanation:

(A) Oxytocin is a hormone secreted by the neurohypophysis during suckling and parturition that produces strong uterine contractions. (B) Progesterone has a quiescence effect on the uterus. (C) Vasopressin is an antidiuretic hormone that promotes water reabsorption by the renal tubules. (D) Ergonovine produces dystocia as a result of sustained uterine contractions.



A burn victim's immunization history is assessed by the nurse. Which immunization is of priority concern?

  1. Oral poliovirus vaccine
  2. Inactivated poliovirus vaccine
  3. Tetanus toxoid
  4. Hepatitis B vaccine

Answer(s): C

Explanation:

(A) Oral poliovirus vaccine is given to prevent polio. Polio is transmitted by direct contact with an infected person. (B) Inactivated poliovirus vaccine is given to adults and immunosuppressed individuals. Polio is transmitted by direct contact with an infected person. (C) Tetanus toxoid prevents tetanus. Tetanus is transmitted through contaminated wounds. (D) Hepatitis B vaccine prevents hepatitis B infection. Hepatitis B is transmitted through contact with infected blood or body fluids.



A burn victim's immunization history is assessed by the nurse. Which immunization is of priority concern?

  1. Oral poliovirus vaccine
  2. Inactivated poliovirus vaccine
  3. Tetanus toxoid
  4. Hepatitis B vaccine

Answer(s): C

Explanation:

(A) Oral poliovirus vaccine is given to prevent polio. Polio is transmitted by direct contact with an infected person. (B) Inactivated poliovirus vaccine is given to adults and immunosuppressed individuals. Polio is transmitted by direct contact with an infected person. (C) Tetanus toxoid prevents tetanus. Tetanus is transmitted through contaminated wounds. (D) Hepatitis B vaccine prevents hepatitis B infection. Hepatitis B is transmitted through contact with infected blood or body fluids.



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