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

Questions 164

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Question 1 of 5

A nursing assistant assigned to care for a client with a radium implant tells the nurse, 'I don't want to be assigned to that radioactive patient.' The best action for the nurse to take is to:

Correct Answer: D

Rationale: Asking why the nursing assistant is afraid addresses her concerns and allows education. Claiming the body shields radiation is inaccurate. Calling her uncaring is unprofessional. Lead aprons are not typically used for implants.

Question 2 of 5

Spirituality affects a client's life in all of the following areas except:

Correct Answer: D

Rationale: Spirituality is a belief in or relationship with some higher power, creative force, divine being, or infinite source of energy and does not have any effect on genetic makeup.

Question 3 of 5

The nurse is caring for a group of clients. Which finding requires immediate action by the nurse?

Correct Answer: A

Rationale: A peripheral IV in place for 84 hours increases the risk of infection and phlebitis. Guidelines recommend changing IV sites every 72-96 hours, so this requires immediate action to remove or replace the IV.

Question 4 of 5

A 9-year-old with type 1 diabetes takes insulin glargine and NPH regularly. While at school, the client becomes shaky, diaphoretic, and pale. What is the most appropriate action by the nurse?

Correct Answer: D

Rationale: Shakiness, diaphoresis, and pallor indicate hypoglycemia. Providing 15 grams of fast-acting carbohydrates, such as 4 oz of a regular soft drink, is the first-line treatment.

Question 5 of 5

The nurse in a long-term care facility is talking with a client with multiple sclerosis who states, 'I want to live in my own home again.' Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: D

Rationale: Encouraging the client to express their concerns promotes client-centered care and helps the nurse understand the client's motivations and needs for returning home.

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