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

Questions 164

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Extract:


Question 1 of 5

During the charge nurse’s morning rounds, a client says, 'I hope you will take better care of me than the nurse I had last night.' What should be the charge nurse’s initial response?

Correct Answer: B

Rationale: Asking for details (
B) allows the charge nurse to understand the client’s concerns and address specific issues. Apologizing (
A) assumes fault, excusing the nurse (
C) dismisses the concern, and reassurance (
D) lacks follow-through without investigation.

Question 2 of 5

A client is admitted to the postpartum floor after a vaginal birth. Which finding indicates the need for immediate intervention?

Correct Answer: B

Rationale: Headache with blurred vision (
B) suggests preeclampsia, a life-threatening condition requiring immediate intervention. Lochia (
A), nipple pain (
C), and discharge (
D) are normal or less urgent postpartum findings.

Question 3 of 5

The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.

Correct Answer: C,D,E

Rationale: Orthostatic pulse change (
C) indicates cardiovascular instability, increasing fall risk. Osteoarthritis of knees (
D) impairs mobility and stability. Carbidopa/levodopa (E) for Parkinson’s can cause orthostatic hypotension or dyskinesia, heightening fall risk. Age 50 (
A) is not a significant risk factor alone, ovarian cancer (
B) is unrelated to falls, and cane use (F) reduces risk if used correctly.

Question 4 of 5

A student nurse performs morning rounds and obtains a urine specimen from a client with methicillin-resistant Staphylococcus aureus who is in contact precautions. The nurse preceptor intervenes when the student performs which action?

Correct Answer: A

Rationale: Chlorhexidine (
A) is not standard for stethoscope cleaning in contact precautions; alcohol or approved disinfectants are used to prevent MRSA transmission. Sealed bags for specimens (
B), scrubbing the port (
C), and hand hygiene (
D) are correct actions to maintain infection control.

Question 5 of 5

The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

Correct Answer: C

Rationale: The client should leave the medication in the brown bottle because light deteriorates the medication. The supply should be replenished every six months, so answer A is incorrect. One tablet should be taken every five minutes times three, so answer B is incorrect. If the pain does not subside, the client should report to the emergency room. The medication should be taken sublingually and should not be crushed, so answer D is incorrect.

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