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Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client continually repeats phrases that others have just said. The nurse recognizes this behavior as

Correct Answer: C

Rationale: Echolalia is repeating words or phrases heard before, often seen in certain psychiatric or developmental conditions.

Question 2 of 5

Following an arteriogram, the nurse should give priority to:

Correct Answer: D

Rationale: Checking distal pulses ensures adequate circulation post-arteriogram, as the procedure involves arterial puncture, which can lead to complications like hematoma or thrombosis.

Question 3 of 5

The nurse is preparing to administer ear drops to a 5-year-old client. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Pulling the pinna upward and back (
A) straightens the ear canal in children over 3. Sitting with chin down (
B), touching the canal (
C), or cold drops (
D) are incorrect.

Question 4 of 5

While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?

Correct Answer: B

Rationale: Separation from parents. Separation anxiety is the greatest stress for a toddler during hospitalization.

Question 5 of 5

An adult is admitted with nausea, vomiting, and diarrhea. The client is receiving an IV of dextrose 5% in water with 40 mEq of KCl. The nurse knows the potassium is added to do which of the following?

Correct Answer: A

Rationale: Vomiting and diarrhea cause significant potassium loss, requiring IV potassium replacement to prevent hypokalemia.

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