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

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Question 1 of 5

An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:

Correct Answer: A

Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.

Question 2 of 5

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

Correct Answer: D

Rationale: Fear of reprisal or further violence is a common barrier preventing elderly clients from reporting abuse, due to dependency on the abuser or fear of consequences. The other options are less relevant. Psychosocial Integrity

Question 3 of 5

A client who has been drinking for five years states that he drinks when he gets upset about 'things' such as being unemployed or feeling like life is not leading anywhere. The nurse understands that the client is using alcohol as a way to deal with

Correct Answer: C

Rationale: Life's stressors. Alcohol is used to cope with stress and anxiety, though it may exacerbate negative feelings.

Question 4 of 5

A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?

Correct Answer: C

Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.

Question 5 of 5

A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6 on a 0-to-10 scale. The client refuses all pain medication other than Motrin, which does not relieve his pain. The next action for the nurse to take is to

Correct Answer: A

Rationale: Ask the client about the refusal of certain pain medications. Understanding cultural or personal beliefs about pain management is essential for effective care.

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