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

Questions 227

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NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A factory worker is brought to the nurse's office after a metal fragment enters her right eye. The nurse should:

Correct Answer: D

Rationale: Covering both eyes prevents movement and further damage, and ER transport ensures specialist care. Covering only one eye, attempting removal, or flushing risks worsening the injury.

Question 2 of 5

A client is admitted to the hospital with a diagnosis of deep vein thrombosis. During the initial assessment, the client complains of sudden shortness of breath. The SaO2 is 87. The priority nursing assessment at this time is

Correct Answer: D

Rationale: Lung sounds are critical assessments at this point. The nurse should be alert to crackles or a pleural friction rub, highly suggestive of a pulmonary embolism.

Question 3 of 5

Which statement describes the advantage of using a decision grid?

Correct Answer: A

Rationale: A decision grid allows the group to visually examine alternatives and evaluate them quantitatively with weighting.

Extract:

When teaching a multigravid client diagnosed with mild preeclampsia about nutritional needs, which of the following types of diet would the nurse discuss?


Question 4 of 5

High-residue diet.

Correct Answer: D

Rationale: A high-protein diet will replace the protein lost in the urine in a patient with pregnancy-induced hypertension (PIH).

Extract:


Question 5 of 5

The nurse is caring for a client who is on bed rest for an extended period of time. When planning care, the nurse knows that which nursing action will do most to help prevent muscle atrophy?

Correct Answer: D

Rationale: Active exercises, when possible, maintain muscle strength and prevent atrophy most effectively. Passive ROM, turning, or position changes are less effective for muscle preservation.

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