NCLEX Questions, NCLEX-PN Practice Questions PDF Questions, NCLEX-PN Questions, Nurselytic

Questions 160

NCLEX-PN

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Question 1 of 5

A 6-year-old child has just had placement of bilateral myringotomy tubes. As the parents prepare for discharge, the nurse correctly includes which instruction in the child's discharge plan?

Correct Answer: C

Rationale: Earplugs prevent water entry during swimming or showering, reducing the risk of infection in ears with myringotomy tubes.

Question 2 of 5

Which assessment finding best indicates that Bryant's traction is applied properly to a small child?

Correct Answer: C

Rationale: Bryant's traction for pediatric femoral fractures requires the child's buttocks to be slightly elevated off the mattress to maintain proper alignment and traction force.

Question 3 of 5

The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?

Correct Answer: A

Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.

Question 4 of 5

The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?

Correct Answer: A

Rationale: Muscle weakness is a common sign of hypokalemia due to impaired muscle function.

Question 5 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.

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