NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?

Correct Answer: C

Rationale: Explaining the disease progression helps the client and family understand that physical changes are temporary, supporting a positive body image. Other options address treatment or monitoring, not body image directly. Health Promotion and Maintenance

Extract:

After paracentesis, the nurse is doing the best action when she


Question 2 of 5

takes patient's BP.

Correct Answer: D

Rationale: Monitoring vital signs post-paracentesis detects complications like hypotension or bleeding.

Extract:


Question 3 of 5

A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?

Correct Answer: A

Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.

Question 4 of 5

The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?

Correct Answer: A

Rationale: The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. There is evidence that increased amounts of folic acid prevents neural tube defects.

Question 5 of 5

The clinic nurse is discussing health promotion with a group of parents. A mother is concerned about Reye's Syndrome, and asks about prevention. Which of these demonstrates appropriate teaching?

Correct Answer: D

Rationale: The link between aspirin use and Reye’s Syndrome has not been confirmed, but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products.

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