NCLEX PN Exam 2026/2027 Actual Complete Real
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As a client progresses through pregnancy, she develops
constipation. What is the primary cause of this problem
during pregnancy?
1. Decreased appetite
2. Inadequate fluid intake
3. Prolonged gastric emptying
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4. Reduced intestinal motility - Answer-Correct Answer: 4
RATIONALES: During pregnancy, hormonal changes and
mechanical pressure reduce motility in the small intestine,
enhancing water absorption and promoting constipation.
Although decreased appetite, inadequate fluid intake, and
prolonged gastric emptying may contribute to constipation,
they aren't the primary cause.
An adolescent with type 1 diabetes mellitus is
experiencing a growth spurt. Which treatment approach
would be most effective for this client?
1. Administering insulin once per day
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2. Administering multiple doses of insulin
3. Limiting dietary fat intake
4. Substituting an oral antidiabetic agent for insulin -
Answer-Correct Answer: 2
RATIONALES: During an adolescent growth spurt, a
regimen of multiple insulin doses achieves better control of
the blood glucose level because it more closely simulates
endogenous insulin release. A single daily dose of insulin
wouldn't control this client's blood glucose level as
effectively. Limiting dietary fat intake wouldn't help the
body use glucose at the cellular level. An adolescent with
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type 1 diabetes mellitus doesn't produce insulin and
therefore can't receive an oral antidiabetic agent instead of
insulin.
A client is admitted to the health care facility with bowel
obstruction secondary to colon cancer. The nurse obtains
a health history, measures vital signs, and auscultates for
bowel sounds. Which step of the nursing process is the
nurse performing?
1. Planning
2. Data collection