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

Questions 160

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Extract:


Question 1 of 5

A client with a suspected myocardial infarction receives nitroglycerin sublingually. Which assessment finding indicates the medication is effective?

Correct Answer: A

Rationale: Nitroglycerin relieves chest pain by dilating coronary arteries, improving blood flow to the myocardium.

Question 2 of 5

When developing the care plan of a client who has a nasogastric (NG) tube for gastric decompression, which nursing order should be modified because it is considered unsafe?

Correct Answer: A

Rationale: Liberal fluid intake is unsafe for a client with an NG tube for decompression, as it may increase gastric contents and risk aspiration.

Question 3 of 5

The nurse is caring for a client with a history of dementia. Which approach promotes communication?

Correct Answer: B

Rationale: Simple, clear sentences enhance understanding in clients with dementia.

Question 4 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

Question 5 of 5

The married couple tells the nurse they have been unsuccessful at achieving a pregnancy. What should be the nurse's initial question when they ask if they should begin testing for infertility?

Correct Answer: D

Rationale: A. Using tobacco products and drinking alcohol are risk factors for infertility, but this is not the initial question. B. Advancing age is a risk factor for infertility, but this is not the initial question. C. A reproductive tract infection is a risk factor for infertility, but this is not the initial question. D. The definition of infertility is the inability to achieve a pregnancy after 1 year of regular intercourse without contraception. If the couple has not been attempting to achieve a pregnancy for that length of time, then there is no need for infertility testing. The other questions address risk factors for infertility, but those questions would be inconsequential if the criterion in option 4 were not met.

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