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

Questions 164

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Question 1 of 5

A client with asthma was recently prescribed fluticasone/salmeterol. After the client has received instructions about this medication, which statement would require further teaching by the nurse?

Correct Answer: B

Rationale: Fluticasone/salmeterol is a maintenance medication for asthma, not a rescue inhaler for acute attacks. Statement B indicates a misunderstanding, requiring further teaching to clarify that a short-acting bronchodilator (e.g., albuterol) should be used for acute symptoms. Rinsing the mouth (
A) prevents oral thrush from the steroid component. Quitting smoking (
C) and receiving a vaccine (
D) are positive health behaviors not requiring correction.

Question 2 of 5

The nurse observes a client using a walker. Which observation indicates that the client needs more instruction?

Correct Answer: A

Rationale: Using the walker to pull up risks tipping, indicating improper use and a need for further instruction on safe walker technique.

Question 3 of 5

A 14 month-old had cleft palate surgical repair several days ago. The parents ask the nurse about feedings after discharge. Which lunch is the best example of an appropriate meal?

Correct Answer: B

Rationale: Soup, blenderized soft foods, ice cream, milk. In a child with cleft palate repair, parents should prepare soft foods and avoid those with particles that might traumatize the surgical site.

Question 4 of 5

Assessment of a client with a history of stroke reveals that the client understands and follows commands but answers questions with incorrect word choices. The nurse documents the presence of which communication deficit?

Correct Answer: A

Rationale: Aphasia (
A) is a language disorder causing difficulty with word choice or expression, common in stroke affecting language centers. The client’s ability to follow commands but use incorrect words suggests expressive aphasia. Apraxia (
B) affects motor planning, dysarthria (
C) impairs speech articulation, and dysphagia (
D) involves swallowing difficulties, none of which match the described deficit.

Question 5 of 5

At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should initially

Correct Answer: D

Rationale: Facilitate creative thinking on staffing. The 'moving phase' of change involves viewing the problem from a new perspective, and then incorporating new and different approaches to the problem. The manager, as a change agent, can facilitate staff's solving the problem.

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