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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.

Extract:

Which of the following types of diet is implicated in the development of diverticulosis?


Question 2 of 5

Which of the following types of diet is implicated in the development of diverticulosis?

Correct Answer: A

Rationale: A low-fiber diet increases colon pressure, contributing to diverticulosis formation.

Extract:


Question 3 of 5

The nurse is caring for clients in the GYN clinic. A client at 28-weeks gestation states that she occasionally leaks urine when she coughs or sneezes. Which of the following actions by the nurse is BEST?

Correct Answer: A

Rationale: Urine leakage during coughing or sneezing at 28 weeks gestation suggests stress incontinence, common due to pelvic pressure. Kegel exercises strengthen pelvic floor muscles, improving control. A urine specimen (
B) is unnecessary without infection signs, leakage is not ‘expected’ (
C), and specialist referral (
D) is premature.

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. He was prescribed some breathing medication by his family physician. However, for the last two months he noted progression of the severity of symptoms and new medications were prescribed. A week prior to admission, his difficulty in breathing worsened. There was non-productive cough, easy fatiguability and basilar rales. He was diagnosed with respiratory problems with acute exacerbation and stemming pneumonia. He was started on antibiotics, IV solumedrol Q6 hourly, oxygen at 2 L/NC; bed rest; diet as tolerated; and ABG. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 4 of 5

What prevents air from entering the chest space when a patient has a chest tube?

Correct Answer: A

Rationale: The water seal chamber prevents air re-entry, maintaining negative pleural pressure.

Extract:

When a patient is unconscious, the nurse should expect the patient to be unable to:


Question 5 of 5

When a patient is unconscious, the nurse should expect the patient to be unable to:

Correct Answer: B

Rationale: Unconscious patients cannot control elimination due to loss of voluntary muscle control.

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