NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

Correct Answer: B

Rationale: Assessing the client's feelings about the pregnancy is critical at 10 weeks to tailor education and support to her emotional needs.

Question 2 of 5

A homeless client has been admitted to the hospital for observation, and he does not speak any English. The nurse does not know any of the client's medical history, but he is grimacing and looks to be in pain. The nurse should

Correct Answer: B

Rationale: An interpreter ensures accurate communication for assessing pain and history, respecting patient needs and safety.

Question 3 of 5

The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?

Correct Answer: E

Rationale: Eschar covering the wound bed makes it unstageable, as the depth cannot be assessed until debridement.

Question 4 of 5

The nurse has just returned to the desk and has four phone messages to return. Which of the following messages should the nurse return FIRST?

Correct Answer: B

Rationale: indicates chest pain, needs to seek medical attention immediately

Question 5 of 5

The nurse is teaching feeding protocol to the spouse of a client who experienced a severe stroke. Which statement by the spouse indicates a need for further explanation by the nurse?

Correct Answer: B

Rationale: Turning on the television during meals can distract the client, increasing the risk of aspiration, and requires further teaching. Other statements are appropriate.

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