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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

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Question 1 of 5

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer: A,C,D

Rationale: Pursed-lip breathing improves oxygenation, high-calorie/protein diets support nutrition, and smoking cessation prevents progression. High oxygen risks CO2 retention, and excessive fluids are not standard.

Question 2 of 5

The clinic nurse is discussing health promotion with a group of parents. A mother is concerned about Reye's Syndrome, and asks about prevention. Which of these demonstrates appropriate teaching?

Correct Answer: D

Rationale: The link between aspirin use and Reye’s Syndrome has not been confirmed, but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products.

Question 3 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.

Question 4 of 5

The nurse is caring for an older client who insists on having a 'hot toddy' laced with liquor at bedtime to help her sleep. How should the nurse respond in order to give culturally sensitive and appropriate care?

Correct Answer: A

Rationale: Exploring the cultural or personal significance of the hot toddy shows respect, fostering culturally sensitive care.

Question 5 of 5

The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?

Correct Answer: D

Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.

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