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

Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A client with a history of multiple sclerosis reports blurred vision. Which nursing intervention is most appropriate?

Correct Answer: D

Rationale: Blurred vision in multiple sclerosis may indicate optic neuritis, requiring specialist evaluation.

Question 2 of 5

Which nursing action best determines if a client has a fecal impaction?

Correct Answer: D

Rationale: A digital rectal exam directly confirms the presence of hard, impacted stool in the rectum.

Question 3 of 5

The nurse is teaching a client about managing hypertension. Which instruction is most appropriate?

Correct Answer: A

Rationale: Limiting sodium to 2 g/day helps reduce blood pressure in hypertension.

Question 4 of 5

A client with type 2 diabetes mellitus reports feeling shaky and sweaty. The nurse checks the blood glucose level, which is 55 mg/dL. What is the nurse's priority action?

Correct Answer: B

Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia; 15 g of a fast-acting carbohydrate (e.g., juice) is the priority to raise glucose levels.

Question 5 of 5

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

Correct Answer: A

Rationale: Nuchal rigidity (stiff neck) is a hallmark sign of meningitis, indicating potential meningeal irritation.

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