NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

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Question 1 of 5

A client with a partial bowel obstruction has a Miller-Abbot tube inserted to decompress the bowel. While the tube is in place, the nurse should give priority to:

Correct Answer: C

Rationale: Preventing skin breakdown by changing the tape daily is critical to avoid tissue damage around the insertion site. Irrigation and suction settings depend on physician orders, and advancing the tube is not a nursing priority without specific instructions.

Question 2 of 5

A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to

Correct Answer: B

Rationale: A physical therapist can assist a client to improve the fine motor skills needed to prepare an insulin injection.

Question 3 of 5

A new mother is two days postpartum, is breastfeeding her infant, and now is preparing for discharge. She states that for contraception she is going to use her diaphragm, which she still has. The nurse's response should be based on which information?

Correct Answer: A

Rationale: Postpartum pelvic changes require diaphragm refitting to ensure effective contraception, as size may differ after childbirth.

Question 4 of 5

A nurse is reinforcing appropriate interventions with the parent of an infant who had a febrile seizure. Which instruction is appropriate to review?

Correct Answer: A

Rationale: Administering acetaminophen or ibuprofen every 6-8 hours helps control fever, reducing the risk of recurrent febrile seizures in infants.

Question 5 of 5

The nurse is caring for a client who experienced a sexual assault and has posttraumatic stress disorder. The client states, 'It is all my fault. I should not have accepted a drink from a stranger I met at a bar.' Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: D

Rationale: This response validates the client's feelings while gently correcting self-blame, reinforcing that the assault was not their fault and promoting a supportive therapeutic environment.

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