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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A woman who is 32 weeks gestation comes to her physician's office. Which finding is of most concern to the office nurse?

Correct Answer: C

Rationale: Periorbital swelling at 32 weeks suggests preeclampsia, a serious condition requiring immediate evaluation. Trace glucose, 4-lb weight gain, or ankle edema are less concerning.

Question 2 of 5

During a situation of pain management, which statement is a priority to consider for the ethical guidelines of the nurse?

Correct Answer: A

Rationale: The client's self-report is the most important consideration. Pain is a complex phenomenon that is perceived differently by each individual. Pain is whatever the client says it is. The other statements are correct but not the most important considerations.

Question 3 of 5

The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.

Correct Answer: C

Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.

Question 4 of 5

The evening nurse caring for an adult who had a partial gastrectomy this morning notes that the drainage from the nasogastric tube is bright red. What action should the nurse take?

Correct Answer: B

Rationale: Bright red nasogastric drainage suggests active bleeding post-gastrectomy, requiring immediate reporting to assess for hemorrhage.

Question 5 of 5

The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply.

Correct Answer: A,B,D

Rationale: MRSA, C. difficile, and VRE require contact precautions due to direct contact transmission. Pertussis and influenza require droplet precautions.

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