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

Questions 163

NCLEX-PN

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Extract:


Question 1 of 5

The emergency department nurse is caring for a 70-year-old client with a history of type 2 diabetes mellitus who reports sudden-onset nausea, sweating, dizziness, and fatigue. The nurse should anticipate the initiation of which protocol?

Correct Answer: C

Rationale: Symptoms like nausea, sweating, dizziness, and fatigue in a 70-year-old with diabetes suggest myocardial infarction, requiring immediate cardiac protocol initiation.

Question 2 of 5

The nurse is obligated to make a report for which situations? Select all that apply.

Correct Answer: B,D,E

Rationale: Reporting is mandatory for suicides, suspected elder abuse, and impaired providers. Reporting to employers or spouses violates confidentiality.

Question 3 of 5

A 15-year-old hospitalized with sarcoma is being treated with Adriamycin (Doxorubicin). Which action by the nurse is most important for the client taking Adriamycin (Doxorubicin)?

Correct Answer: C

Rationale: Adriamycin causes alopecia, so providing a wig addresses the psychosocial impact of hair loss, which is a priority for a teenager.

Question 4 of 5

The nurse is talking with the parent of a 6-year-old client about how to share details of the client's adoption. Which of the following thought processes would be consistent with the expected cognitive development of the client?

Correct Answer: B

Rationale: At age 6, children can imagine scenarios like life with biological parents, consistent with concrete operational thinking. Other options reflect older or atypical development.

Question 5 of 5

A 6 year-old female is diagnosed with recurrent urinary tract infections (UTIs). Which one of the following instructions would be best for the nurse to tell the caregiver?

Correct Answer: C

Rationale: Use plain water for the bath, shampooing hair last. Hair should be shampooed last with a rinsing of plain water over the genital area. The oils in soaps and bubble bath can cause irritation, which may lead to UTIs in young girls.

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