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

Questions 149

NCLEX-PN

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Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

An elderly man tells the nurse that all his family members mumble when they talk. How should the nurse respond to this statement?

Correct Answer: B

Rationale: Perceiving speech as mumbling is a common sign of hearing loss in the elderly, warranting a hearing test.

Question 2 of 5

A 40-year-old man is admitted to the psychiatric unit for treatment of anxiety neurosis. For several weeks, he has had increasingly frequent periods of palpitations, sweating, chest pain, and choking. His nursing diagnosis is 'severe anxiety, stressor unidentified.' Which of these measures is appropriate during the client's attacks?

Correct Answer: A

Rationale: Providing support and safety during anxiety attacks helps reduce distress and ensures the client feels secure.

Question 3 of 5

A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?

Correct Answer: D

Rationale: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.

Question 4 of 5

The nurse is providing information to the parents about how to obtain a test-tape specimen to determine if their child has pinworms. Place the nurse's instructions in the order that they should be completed for obtaining the specimen.

Order the Items

Source Container

Place the tongue depressor in a glass jar or in a loose plastic bag.
Loop a piece of transparent tape, sticky side out, and place it on the end of a tongue depressor.
Repeat the procedure the following day.
Bathe the child.
As soon as the child wakes up in the morning and prior to the child having a bowel movement, place the tongue depressor firmly against the child's perianal area.

Correct Answer: B,E,A,D,C

Rationale: The tape test for pinworms involves applying tape to the perianal area in the morning, storing the sample, and repeating the process to confirm diagnosis.

Question 5 of 5

A 15-year-old girl is brought to the hospital by her parents. She is 5 feet, 7 inches tall and weighs 80 pounds. Her parents report that she eats very little. This evening, she is very difficult to arouse and had to be carried into the emergency room. A diagnosis of anorexia nervosa is made. Which of the following is the nurse most likely to observe/measure when assessing this client?

Correct Answer: D

Rationale: Tachycardia is common in severe anorexia due to dehydration and electrolyte imbalances, reflecting cardiovascular stress.

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