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Questions 164

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NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client with generalized anxiety disorder has received a new prescription for sertraline. The nurse should reinforce teaching to the client on what possible adverse effect?

Correct Answer: B

Rationale: Sertraline commonly causes sexual dysfunction, a significant side effect. Hypernatremia , urinary retention , and weight loss are less common.

Question 2 of 5

The nurse is reinforcing teaching about breastfeeding to a postpartum client. Which statement by the client indicates a correct understanding of teaching?

Correct Answer: C

Rationale: Breaking suction with a finger prevents nipple trauma. Short feeding times , lying on back , and nipple-only latch are incorrect.

Question 3 of 5

A client with multiple sclerosis is voicing concerns to the nurse about incoordination when walking. Which of the following instructions by the nurse would be most appropriate at this time?

Correct Answer: D

Rationale: A wide stance and cane improve balance. Stretching is beneficial, prolonged exercise may worsen fatigue, and a wheelchair is premature.

Question 4 of 5

A woman who is at 39 weeks gestation enters the hospital in early labor. Several hours later, she says, 'What's happening? I suddenly feel as though I have to have a bowel movement.' The woman starts bearing down as if to push out stool. What is the best initial action for the licensed practical nurse at this time?

Correct Answer: B

Rationale: The urge to have a bowel movement and bearing down indicate advanced labor or delivery. Panting prevents pushing, allowing time to assess and prepare for delivery.

Question 5 of 5

The nurse is caring for a client recovering from a fracture. Which diet selection would be best for this client?

Correct Answer: D

Rationale: A diet rich in protein, calcium, and vitamins supports bone healing. Broiled chicken, Mandarin orange salad, and milk provide these nutrients. Options A, B, and C include less nutrient-dense foods like fried items or chips, making them less ideal.

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