NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

A mother calls the pediatrician's office stating that her 15-month-old son received an MMR vaccination yesterday. Today, the site of the injection is red, warm, and puffy. What is the best action for the nurse to take?

Correct Answer: D

Rationale: Mild redness, warmth, and swelling at the MMR injection site are expected reactions, resolving without intervention.

Question 2 of 5

The nurse supporting a family who has just experienced a sudden and unexpected death needs to know:

Correct Answer: A

Rationale: Sudden death produces greater emotional turmoil and shock in survivors than does a gradual, expected death.

Question 3 of 5

The nurse is to administer a tuberculin skin test. What is the correct procedure?

Correct Answer: C

Rationale: Tuberculin skin tests are given intradermally at a 10-degree angle on the volar forearm to create a wheal, ensuring accurate reading.

Question 4 of 5

The nurse observes a client who is walking with a cane. Which observation indicates that the client is walking appropriately?

Correct Answer: C

Rationale: Holding the cane on the unaffected side and moving it with the affected leg provides optimal support and balance, coordinating strength with the weaker side.

Question 5 of 5

The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent

Correct Answer: B

Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).

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