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

Questions 176

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Question 1 of 5

A client with metastatic esophageal cancer says, 'I don't want to be kept alive being fed by a tube.' What are the most appropriate ways for the nurse to ensure that this information is available to all who may need it for future decision-making? Select all that apply.

Correct Answer: A, B, C

Rationale: Documenting in the EHR (
A), discussing with the proxy (
B), and completing an advance directive (
C) ensure the client's wishes are communicated. Informed consent (
D) is irrelevant, and DNR (E) is not indicated.

Question 2 of 5

A man who had a right below-the-knee amputation is placed in the prone position for one hour three times a day. The nurse explains to the man that this is done to prevent which problem?

Correct Answer: C

Rationale: Prone positioning stretches hip flexors, preventing contractures post-amputation. It doesn't primarily address atelectasis, thrombophlebitis, or infection.

Question 3 of 5

The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which finding requires intervention by the nurse?

Correct Answer: A

Rationale: Contraction duration of 95 seconds (
A) is too long and may reduce fetal oxygenation, requiring intervention. Frequency (
B), intensity (
C), and resting tone (
D) are within normal limits.

Question 4 of 5

The client with hyperparathyroidism will exhibit signs of:

Correct Answer: C

Rationale: Hyperparathyroidism increases parathyroid hormone, causing hypercalcemia by mobilizing calcium from bones and increasing absorption. Hypokalemia , hyponatremia , and hyperphosphatemia are not typically associated.

Question 5 of 5

A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.

Correct Answer: A, C, D

Rationale: Short fingernails (
A), cholestyramine timing (
C), and moisturizing cream (
D) reduce itching and protect skin. Hot water (
B) worsens itching, and wool gloves/tight stockings (E) may irritate skin.

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