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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

An adult is receiving external radiation as part of her treatment for cancer. She asks what precautions are necessary for her to take because of the radiation therapy. The nurse replies that the client should not be around which of the following persons?

Correct Answer: A

Rationale: External radiation poses a risk to pregnant women due to fetal sensitivity to radiation exposure. Sick individuals, pacemaker users, or elderly persons are not specifically at risk.

Question 2 of 5

A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What would be the best response by the nurse demonstrating emotional support for the client?

Correct Answer: C

Rationale: Yes, staying with the client and orienting her to her surroundings may decrease her anxiety. The partner's presence can reduce anxiety and confusion.

Question 3 of 5

The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about

Correct Answer: A

Rationale: Alcohol use during pregnancy. This cluster of facial characteristics is often linked to fetal alcohol syndrome (FAS), which can cause lifelong developmental delays.

Extract:

While working on his motor bike, a 19-year-old sustains a puncture wound from a rusty metal. He presents himself to the ER of local hospital. The puncture wound is cleansed with hydrogen peroxide and a sterile dressing applied. The client confirmed that he is up-to-date with his tetanus immunization. Antibiotic was prescribed and administered and the client was sent home with instructions to return if there is any change in the wound area. Three days following the ER visit, the client is admitted to the hospital with a diagnosis of tetanus.


Question 4 of 5

Nursing care for client includes:

Correct Answer: A

Rationale: The slightest stimulation sets off a wave of very severe and painful muscle spasms involving the whole body. Admitting the client to a private room minimizes stimuli and reduces the risk of spasms.

Extract:


Question 5 of 5

The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?

Correct Answer: C

Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.

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