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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Free Questions

Extract:


Question 1 of 5

A nurse is caring for a patient in the first stage of labor. Which of the following interventions should the nurse implement to promote comfort? (Select all that apply)

Correct Answer: A,B,C,E

Rationale: Walking, ice chips, warm showers, and breathing techniques reduce discomfort and promote relaxation in early labor. Enemas are outdated and not routine.

Extract:

The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.


Question 2 of 5

The most appropriate first nursing action is:

Correct Answer: A

Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent further complications.

Extract:


Question 3 of 5

The client is receiving furosemide daily. Which statement by the client indicates to the nurse that the client understands the dietary needs related to this medication?

Correct Answer: D

Rationale: Furosemide causes potassium loss; watermelon is high in potassium, helping to replace it, indicating dietary understanding. The other foods are not notably potassium-rich.

Question 4 of 5

The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?

Correct Answer: A

Rationale: Solid foods should be added one at a time between 4-6 months. If the infant is able to tolerate the food, another may be added in a week. Iron fortified cereal is the recommended first food.

Extract:

Post thoracentesis, the patient complains of blood-tinged sputum.


Question 5 of 5

Which of the following would the PN performs first?

Correct Answer: B

Rationale: Blood-tinged sputum may indicate a pneumothorax, so auscultating for breath sounds is the priority to assess lung status.

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