NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

A 36-year-old client tested positive for the tuberculosis antibody and was placed on isoniazid (INH) four weeks ago. The nurse would be MOST concerned if which of the following was observed?

Correct Answer: A

Rationale: initial indications of hepatic dysfunction

Question 2 of 5

A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic.

Correct Answer: A

Rationale: Glucose and acetone in urine suggest possible gestational diabetes, which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Mild edema, increased vaginal discharge, and diaphragmatic pressure are common in late pregnancy and not necessarily indicative of complications.

Question 3 of 5

The nursing staff is planning to use behavior modification techniques for an elderly woman who constantly screams. Which of the following nursing assessments is necessary to establish a successful program?

Correct Answer: C

Rationale: to design an effective behavior modification program, accurate baseline data must first be collected about the target behavior in relation to frequency, amount, time, and precipitating factors

Question 4 of 5

The nurse is caring for a schizophrenic client who has become increasingly withdrawn to the point of mutism. The MOST important nursing approach at this time would be to

Correct Answer: B

Rationale: nurse should maintain contact with client but not make demands to communicate or participate in activities

Question 5 of 5

Which of the following guidelines is appropriate for the nurse to give a mother concerning the developmental stage of her seven-year-old daughter?

Correct Answer: A

Rationale: normal for developmental stage, beginning to show independence from parents

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