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

Questions 176

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Extract:


Question 1 of 5

In assessing the healing of a client's wound during a home visit, which of the following is the best indicator of good healing?

Correct Answer: C

Rationale: Reddened tissue. Redness indicates granulation tissue formation, a sign of healing.

Question 2 of 5

The nurse is caring for an assigned team of clients. Which client is the priority for the nurse at this time?

Correct Answer: C

Rationale: An aura (
C) indicates an impending seizure, requiring immediate intervention to ensure safety. Guillain-Barré (
A), multiple sclerosis (
B), and fibromyalgia (
D) are less acute at this moment.

Question 3 of 5

A postoperative client is having difficulty voiding. Palpation of the bladder indicates that the bladder is full. What should the nurse do initially?

Correct Answer: B

Rationale: Pouring water over the perineum stimulates the micturition reflex, aiding voiding non-invasively. Catheterization, breathing, or pain medication are secondary.

Question 4 of 5

The nurse is teaching about nonsteroidal anti-inflammatory drugs (NSAIDs) to a group of arthritic clients. To minimize the side effects, the nurse should emphasize which of the following actions?

Correct Answer: B

Rationale: Taking the medication 1 hour before or 2 hours after meals. Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.

Question 5 of 5

The nurse has reinforced teaching with a client with newly diagnosed polycythemia vera. Which of the following statements by the client would require follow-up?

Correct Answer: A

Rationale: Iron supplements (
A) can worsen polycythemia vera by increasing red blood cell production, requiring follow-up. Increased fluids (
B), phlebotomy (
C), and aspirin (
D) are appropriate.

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