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

Questions 176

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Question 1 of 5

A client with obesity reports several failed attempts at weight loss. Which client statement best indicates that the client is ready and motivated for successful weight loss?

Correct Answer: A

Rationale: Signing up as a dog walker (
A) shows a concrete behavioral change, indicating readiness. Understanding benefits (
B), short-term goals (
C), or external encouragement (
D) are less indicative of sustained motivation.

Question 2 of 5

The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

Correct Answer: C

Rationale: Encourage range of motion and ambulation. Mobility reduces the risk of deep vein thrombosis in the post-surgical client and the adult at risk due to other factors.

Question 3 of 5

An adult is admitted to the emergency department following a fall. A piece of bone is protruding through the skin of the left thigh. In addition to assessing vital signs, what information is most essential to obtain from the client at this time?

Correct Answer: B

Rationale: An open fracture (bone protruding) risks tetanus infection; knowing the last tetanus shot date is critical to determine prophylaxis need. Fall history, environment, or surgeries are secondary.

Question 4 of 5

The nurse is performing tracheostomy care for a client who has a tracheostomy tube with a disposable inner cannula. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Suctioning before removing the inner cannula (
C) clears secretions and ensures airway patency. Alcohol-based solutions (
A) are irritating, humidification (
B) is needed, and removing the outer cannula (
D) is unsafe.

Question 5 of 5

The nurse is assisting the physician with an examination of a client with Addison's disease. During the examination, the nurse will note which change in the client's integumentary system?

Correct Answer: C

Rationale: Addison's disease causes bronze pigmentation due to increased ACTH. Edema , hirsutism , and pendulous abdomen are not typical.

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