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

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included? Select all that apply.

Correct Answer: B, D

Rationale: Increased fluids (
B) and ibuprofen (
D) manage dehydration and pain. Ceasing breastfeeding (
A) or reducing feeds (
C) can worsen mastitis, and tight bras (E) may increase discomfort.

Question 2 of 5

A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?

Correct Answer: A

Rationale: In asthma, the airways are narrowed, creating difficulty getting air in. A wheezing sound results.

Question 3 of 5

The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?

Correct Answer: D

Rationale: Cloudy drainage is a sign of infection that can lead to peritonitis (inflammation of the peritoneum). The other options are expected side effects of peritoneal dialysis.

Extract:

Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%


Question 4 of 5

The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?

Correct Answer: B

Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.

Extract:


Question 5 of 5

An adult client in an acute care facility says to the nurse, 'I hope this hospital doesn't have student doctors and nurses. I do not want a student taking care of me.' The nurse's response should be based on which of the following understandings?

Correct Answer: B

Rationale: Clients have the right to know about student involvement and refuse student care, respecting autonomy. Consent doesn't inherently include students, and special forms or mandatory acceptance are incorrect.

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