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NCLEX PN Exam Practice Test Questions

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Question 1 of 5

An adult who had a mastectomy yesterday says to the nurse, 'I guess I'm not a real woman anymore. How could my husband possibly love me now?' What is the best response for the nurse to make?

Correct Answer: A

Rationale: Reflecting the client's feelings validates her emotional distress, fostering therapeutic communication post-mastectomy. Other responses dismiss or redirect her concerns.

Question 2 of 5

Which of the following should the nurse obtain from a client prior to having electroconvulsive therapy (ECT)?

Correct Answer: D

Rationale: Pre-anesthesia work-up. ECT is delivered under general anesthesia and the client should be prepared as for any procedure involving anesthesia.

Question 3 of 5

The nurses on a unit are planning for stoma care for clients who have a stoma for fecal diversion. Which stomal diversion poses the highest risk for skin breakdown?

Correct Answer: A

Rationale: Ileostomy output contains caustic gastric and enzymatic agents that can denude skin quickly.

Question 4 of 5

What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?

Correct Answer: B

Rationale: Alcohol potentiates the action of tricyclic antidepressants.

Question 5 of 5

The client has a cast applied following a fracture of the femur. The doctor tells the nurse to petal the cast. The nurse is aware that he intends for her to:

Correct Answer: C

Rationale: Petaling a cast involves covering the rough edges with adhesive tape or cast batting to prevent skin irritation. Cutting the cast or creating a window is a different procedure.

Similar Questions

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The nurse is obligated to make a report for which situations? Select all that apply.
The nurse is caring for a school-aged client recently diagnosed with attention deficit hyperactivity disorder. The nurse should recognize that the client is at risk for experiencing

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