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

Questions 227

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Extract:


Question 1 of 5

A hospitalized client asks what is wrong with the person in the next bed. How should the nurse reply?

Correct Answer: C

Rationale: HIPAA mandates confidentiality; stating that information is confidential protects patient privacy without engaging further.

Extract:

A 65-year-old man has been admitted to the hospital for spinal stenosis surgery.


Question 2 of 5

When does the discharge training and planning begin for this patient?

Correct Answer: B

Rationale: Discharge planning begins upon admission to ensure a comprehensive care plan.

Extract:


Question 3 of 5

The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?

Correct Answer: D

Rationale: For safety, a manic client in seclusion should remain in the seclusion room. Serving the meal there ensures the client receives nutrition at the regular time without compromising safety. Taking the client to the dining room (
A) risks escalation, and withholding the meal (B,
C) is inappropriate.

Extract:

At age 3 months, an infant is admitted to the hospital for a cleft lip repair.


Question 4 of 5

Postoperative nursing care should include:

Correct Answer: B

Rationale: Meticulous care of the suture line is necessary to prevent infection and to provide the best cosmetic effect post-cleft lip repair.

Extract:


Question 5 of 5

A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to

Correct Answer: A

Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.

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