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

Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?

Correct Answer: A

Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.

Question 2 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

Question 3 of 5

The nurse is providing information to the client diagnosed with genital herpes- Which is the priority information that the nurse should provide to the client?

Correct Answer: D

Rationale: A. Information about females being infected more than males is important, and the client should be informed of this, but this is not the priority. B. Information about the mode of transmission is important, and the client should be informed of this, but this is not the priority. C. Typically in the first year after the diagnosis, the client will have four to five outbreaks, not two to three. D. The priority information to tell the client is that transmission can occur from a partner who does not have a visible sore.

Question 4 of 5

The nurse is caring for a client with a urinary catheter. Which action reduces the risk of catheter-associated urinary tract infection?

Correct Answer: B

Rationale: Daily cleaning of the catheter insertion site with soap and water reduces bacterial growth and infection risk.

Question 5 of 5

The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the "OK" sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client's abrupt departure?

Correct Answer: C

Rationale: A. Since the client had participated in the discussion up to the point of the nurse's actions, he obviously was not uncomfortable with the discussion. B. A Latino is usually not uncomfortable with close personal space; some Latinos perceive Anglos as distant because they prefer more personal space during a conversation. C. In much of Latin America, the North American "OK" sign (i.e., pinched thumb and forefinger) may be considered obscene. D. Anger and an abrupt departure are usually not behaviors displayed by the client when teaching is completed.

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