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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A 17-year-old unmarried postpartum client is being discharged. Which situation suggests the need for a community-based assistance referral after discharge?

Correct Answer: B

Rationale: Living alone as a young, unmarried mother indicates a lack of immediate support, necessitating a referral for community assistance.

Question 2 of 5

Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?

Correct Answer: A

Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.

Question 3 of 5

A client with a nasogastric tube has just returned from the recovery room after gastric surgery. Which report made by the client is essential to pass on to the physician or charge nurse?

Correct Answer: D

Rationale: Bright red, bloody drainage indicates potential hemorrhage, requiring immediate reporting to the physician.

Question 4 of 5

The nurse is assessing a client with suspected anaphylactic shock. Which finding is most concerning?

Correct Answer: A

Rationale: Wheezing indicates airway constriction, a life-threatening sign in anaphylactic shock.

Question 5 of 5

A client with pneumonia is receiving IV antibiotics. Which assessment finding suggests the client is responding to treatment?

Correct Answer: A

Rationale: A decreased white blood cell count indicates the infection is resolving, showing a response to antibiotics.

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