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

Questions 164

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Extract:


Question 1 of 5

An adult is admitted to the long-term care facility. She had a cerebrovascular accident and no longer needs acute care. The client has left side hemiplegia. Because of the type of deficit the client has, the nurse knows that this woman is at increased risk for which of the following?

Correct Answer: C

Rationale: Left hemiplegia from a right brain CVA increases risk for visual-spatial deficits, as the right hemisphere processes spatial awareness, unlike speech (left hemisphere), behavior, or hearing.

Question 2 of 5

The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?

Correct Answer: D

Rationale: Placing a teddy bear in the crib (
D) increases suffocation risk, requiring further teaching. Pacifiers (
A), sleep sacks (
B), and firm mattresses (
C) are safe.

Question 3 of 5

The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.

Correct Answer: A,D,E

Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.

Question 4 of 5

A 24-year-old female client is prescribed isotretinoin for severe cystic acne. Which instruction is most important for the nurse to reinforce?

Correct Answer: D

Rationale: Isotretinoin is highly teratogenic, so using two forms of contraception (
D) is critical to prevent pregnancy. Sunscreen (
C) is important for photosensitivity, but contraception is the priority.

Question 5 of 5

The nurse is caring for a client with a tracheostomy who has an order to begin oral intake. Which of the following actions should the nurse take to decrease the client's risk for aspiration?

Correct Answer: D

Rationale: Thickened liquids (
D) reduce aspiration risk by slowing transit. Inflating the cuff (
A) is not always necessary, straws (
B) may increase risk, and tilting the head back (
C) worsens aspiration.

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