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

Questions 176

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Extract:


Question 1 of 5

A postoperative client is having difficulty voiding. Palpation of the bladder indicates that the bladder is full. What should the nurse do initially?

Correct Answer: B

Rationale: Pouring water over the perineum stimulates the micturition reflex, aiding voiding non-invasively. Catheterization, breathing, or pain medication are secondary.

Question 2 of 5

Which of the following clients does the nurse identify as being at high risk for developing colorectal cancer? Select all that apply.

Correct Answer: A, C, E

Rationale: High red meat/low fiber diet (
A), ulcerative colitis (
C), and family history (E) are established risk factors for colorectal cancer. Obesity (
B) and smoking (
D) have weaker associations.

Question 3 of 5

A client who is being evaluated for suspected ectopic pregnancy reports sudden-onset, severe, right lower abdominal pain and dizziness. Which of the following additional assessment findings will the nurse anticipate if the client is experiencing a ruptured ectopic pregnancy? Select all that apply.

Correct Answer: A, D, E

Rationale: Low blood pressure (
A), tachycardia (
D), and shoulder pain (E) indicate hemorrhage from a ruptured ectopic pregnancy. Crackles (
B) and jugular vein distension (
C) are unrelated.

Question 4 of 5

The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.

Correct Answer: A, B, C, E

Rationale: Clear liquids include apple juice (
A), chicken broth (
B), cranberry juice (
C), and unsweetened tea (E). Cream of chicken soup (
D) and ice cream (F) are not clear liquids.

Question 5 of 5

The nurse is reinforcing teaching about home administration of sublingual nitroglycerin tablets to a client with stable angina. Which client statement indicates the need for further teaching?

Correct Answer: D

Rationale: Keeping nitroglycerin in a car (
D) risks exposure to heat, reducing efficacy, requiring further teaching. Other statements (A, B,
C) are correct.

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