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Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

The adolescent client diagnosed with HIV has a CD4-positive T-lymphocyte count of 160 mcL. The nurse evaluates that interventions have been most effective when which outcome in the client's plan of care is achieved?

Correct Answer: C

Rationale: A CD4 count of 160 mcL indicates severe immunosuppression; preventing opportunistic infections is the most critical outcome.

Question 2 of 5

The nurse is discussing the care of a client who has a hearing deficit. Which suggestion is most appropriate to make to those around him?

Correct Answer: C

Rationale: Avoiding bright lights behind the speaker prevents glare, aiding lip-reading and communication for someone with a hearing deficit.

Question 3 of 5

A young woman is admitted for the first time with a diagnosis of catatonic schizophrenia and is receiving chlorpromazine (Thorazine) daily. She is to go home for a weekend pass. What is the most important instruction to give her relative to her medications?

Correct Answer: A

Rationale: Chlorpromazine causes photosensitivity and interacts dangerously with alcohol, necessitating sunscreen use and alcohol avoidance.

Question 4 of 5

The nurse is caring for the child who has a virulent infection. The HCP prescribes cefazolin sodium IV 50 mg every 6 hours. The Pediatric Dosage Handbook states the safe range of cefazolin is 6.25 to 25 mg per kg per day. The child weighs 18 lb. What is the most appropriate action by the nurse?

Correct Answer: C

Rationale: Convert 18 lb to kg: 18 ÷ 2.2 = 8.18 kg. Safe range: 6.25–25 mg/kg/day = 51.13–204.5 mg/day. Prescribed dose: 50 mg × 4 = 200 mg/day, which is within the safe range.

Question 5 of 5

The adolescent client with acute vomiting and diarrhea is diagnosed at the clinic with a norovirus infection. Which instruction should the nurse include when teaching the client?

Correct Answer: B

Rationale: Norovirus is shed in stool for weeks after symptoms resolve, requiring strict hand washing to prevent transmission.

Similar Questions

The clinic nurse is teaching the mother of a child with head lice how to apply permethrin. Place the steps in the order that they should be performed.
The clinic nurse is teaching the parent of the 3-year-old with rubella. Which information should the nurse provide?
The clinic nurse is preparing to assess the 14-year-old client who has impetigo on the hands and neck. In reviewing the client's history, the nurse would expect which predisposing factors to be associated with bacterial skin infections?
The clinic nurse is advising the parent of the 8-year-old who has ringworm and now has an extensive, itchy rash. Which instruction should the nurse provide?
The nurse is caring for a 75-year-old widow admitted to the psychiatric hospital by her daughter, who became concerned when her mother began to talk in a confused manner about her husband who has been dead for seven years. In the hospital, especially at night, the client wanders into the other clients' rooms looking for her husband. What is the most appropriate action for the nurse to take when this woman wanders into the rooms of the other clients?

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