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Questions 160

NCLEX-PN

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Question 1 of 5

A friend shares with a nurse about being engaged to be married. The nurse knows that the friend's fiancé has tested positive for human immunodeficiency virus (HIV). What is the nurse legally obligated to do?

Correct Answer: D

Rationale: HIPAA mandates confidentiality of the fiancé's HIV status, requiring the nurse to safeguard this information.

Question 2 of 5

The nurse is providing information to the client diagnosed with genital herpes- Which is the priority information that the nurse should provide to the client?

Correct Answer: D

Rationale: A. Information about females being infected more than males is important, and the client should be informed of this, but this is not the priority. B. Information about the mode of transmission is important, and the client should be informed of this, but this is not the priority. C. Typically in the first year after the diagnosis, the client will have four to five outbreaks, not two to three. D. The priority information to tell the client is that transmission can occur from a partner who does not have a visible sore.

Question 3 of 5

The nurse is preparing to administer a tuberculin skin test. Which site is most appropriate?

Correct Answer: A

Rationale: The inner forearm provides a clear, accessible site for reading the tuberculin skin test reaction.

Question 4 of 5

What are the priorities when planning the care of a 75-year-old hospitalized client who develops pneumonia? Select all that apply.

Correct Answer: B,E,F

Rationale: Maintaining oxygenation addresses hypoxia, a critical issue in pneumonia. Administering antibiotics promptly and obtaining blood cultures ensure timely treatment and accurate diagnosis.

Question 5 of 5

Which action provides the best evidence that a client with a colostomy is adjusting to the change in body image?

Correct Answer: C

Rationale: Providing self-care for the colostomy appliance indicates acceptance and adaptation to the body image change.

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