NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A 35-year-old woman with three children is seen in the emergency room for a broken arm and facial lacerations. This is the third emergency room visit in the last three months for injuries. Each time, she tells the staff that she fell. This time, she confides to the LPN/LVN that 'my husband accidentally pushed me.' What should the LPN/LVN do with this information?

Correct Answer: B

Rationale: Suspected domestic violence requires reporting to the charge nurse for referral to social services or abuse resources, ensuring proper support. Questioning, legal referrals, or rights discussions are less appropriate initially.

Question 2 of 5

Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?

Correct Answer: C

Rationale: Trauma victims' clothing may contain forensic evidence critical for legal investigations, requiring preservation to maintain the chain of evidence custody. Physiological Adaptation

Question 3 of 5

The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse observes the client having periods of apnea during sleep. The nurse should

Correct Answer: C

Rationale: Periods of apnea during sleep in a COPD client may indicate sleep apnea or worsening respiratory status, requiring medical evaluation. Increasing oxygen (
A) without orders is unsafe, repositioning (
B) may not address apnea, and only documenting (
D) delays intervention.

Question 4 of 5

A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?

Correct Answer: C

Rationale: Following familiar bedtime rituals helps preschoolers feel secure and promotes sleep. The other options may increase anxiety or overstimulation, hindering sleep. Basic Care and Comfort

Question 5 of 5

The nurse is caring for an older client who insists on having a 'hot toddy' laced with liquor at bedtime to help her sleep. How should the nurse respond in order to give culturally sensitive and appropriate care?

Correct Answer: A

Rationale: Exploring the cultural or personal significance of the hot toddy shows respect, fostering culturally sensitive care.

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