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

Questions 176

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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

The nurse reinforces education to the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription of methylphenidate. Which statement by the parent best demonstrates that teaching has been effective?

Correct Answer: C

Rationale: Taking methylphenidate before 6:00 PM (
C) prevents sleep disruption, indicating effective teaching. Diet changes (
A), self-management (
B), and no monitoring (
D) are incorrect or incomplete.

Question 3 of 5

The nurse is talking with a client with atrial fibrillation who has a new prescription for dabigatran. Which of the following statements by the client would require follow-up?

Correct Answer: D

Rationale: Dabigatran does not require routine blood monitoring (
D), unlike warfarin, so this statement requires follow-up. Soft toothbrush (
A), reporting bleeding (
B), and swallowing whole (
C) are correct.

Question 4 of 5

Following an arteriogram, the nurse should give priority to:

Correct Answer: D

Rationale: Checking distal pulses ensures adequate circulation post-arteriogram, as the procedure involves arterial puncture, which can lead to complications like hematoma or thrombosis.

Question 5 of 5

A client is being discharged after having a coronary artery bypass grafting x5. The client asks questions about the care of chest and leg incisions. Which instructions should the nurse reinforce? Select all that apply.

Correct Answer: A, B, D

Rationale: Reporting sensory changes (
A), signs of infection (
B), and washing gently (
D) promote healing. Soaking and peroxide (
C) can disrupt healing, and compression hose (E) are not routinely needed.

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