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

Questions 164

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Question 1 of 5

An adult postoperative client vomits, and his abdominal wound eviscerates. What is the best initial action for the nurse to take?

Correct Answer: A

Rationale: Covering exposed intestines with sterile moist dressings prevents infection and drying of tissue, stabilizing the client until surgical intervention. Packing intestines risks contamination, irrigation is inappropriate, and vital signs are secondary to immediate protection.

Question 2 of 5

The precepting nurse supervising a graduate practical nurse would need to intervene when the graduate nurse violates the Health Insurance Portability and Accountability Act with which action? Select all that apply.

Correct Answer: A,D,E

Rationale: Accessing unassigned records , sharing results with a clerk , and writing names on a public whiteboard violate HIPAA. Sharing relevant care info and private questioning are permissible.

Question 3 of 5

The health care provider prescribes phenazopyridine hydrochloride for a client with a urinary tract infection. What would the office nurse remind the client to expect while taking this medication?

Correct Answer: C

Rationale: Phenazopyridine causes orange-red urine discoloration, a benign effect. Constipation , insomnia , and dry mouth are not typical.

Question 4 of 5

The nurse in the outpatient clinic is caring for a client whose obstetric history is documented as G3 T1 P2 A1 L2. The nurse should recognize that the client

Correct Answer: C

Rationale: G3 indicates 3 pregnancies; T1 means 1 term birth (37 weeks); P2 means 2 preterm births (20-36 weeks); A1 means 1 abortion; L2 means 2 living children. Thus, C is correct as it matches T1.

Question 5 of 5

After obtaining a nutritional assessment of an elderly client, the nurse determines that the client's diet lacks sufficient protein. Which foods represent low-cost sources of protein?

Correct Answer: B

Rationale: Peas and beans are low-cost, high-protein foods. Beef and pork are expensive, and potatoes, tomatoes, beets, and rice are low in protein.

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