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

Questions 176

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Question 1 of 5

A new client is admitted with a major abscess on her thigh caused by scratching mosquito bites with dirty hands after digging in her garden. She is on isolation precautions in a private room after surgical debridement. The physician changes her dressings daily. What should the nurse wear when providing care for this client?

Correct Answer: C

Rationale: Gloves and gown are required for contact precautions due to the abscess, preventing transmission of infection.

Question 2 of 5

The nurse in a long-term care facility is caring for a client with major depressive disorder who is reporting difficulty sleeping. The client gets up during the night, paces the hallway, wrings the hands, and appears teary. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, D, E, F

Rationale: Natural sunlight exposure (
A) helps regulate circadian rhythms and improve mood. Warm milk (
D) contains tryptophan, which promotes sleep. A quiet environment (E) and soft music (F) reduce stimulation and promote relaxation. Naps (
B) may disrupt nighttime sleep, and exercise before bedtime (
C) can be stimulating.

Question 3 of 5

The most important information for the nurse to have when planning care for the client with diabetes is the client's

Correct Answer: B

Rationale: Answer B is correct. The most objective answer is the blood glucose history. Answers A, C, and D are more subjective. This information is reported data.

Question 4 of 5

The nurse is collecting data from a 10-year-old client during a routine physical examination. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, C, D

Rationale: Using anatomical terminology (
A) promotes understanding. Explaining equipment and procedures (
C) reduces anxiety. Offering a gown and allowing underwear (
D) respects privacy. Adult examination sequences (
B) may not suit pediatric needs, and parents rating pain (E) may not accurately reflect the child's experience.

Question 5 of 5

The nurse is caring for a client receiving chemotherapy. The client is prescribed filgrastim to improve the function of the immune system. Which finding does the nurse anticipate in response to the medication?

Correct Answer: C

Rationale: Filgrastim stimulates neutrophil production, so an increase in neutrophil count (
C) is expected. It does not affect uric acid (
A), hemoglobin (
B), or platelets (
D).

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