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

Questions 164

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Question 1 of 5

The family of a 90-year-old resident in a long-term care facility asks the nurse why the client only gets a shower three times a week. What information is most important for the nurse to include when answering the question?

Correct Answer: B

Rationale: Frequent showers can exacerbate dry skin in elderly clients, increasing irritation or breakdown risk. Staffing, energy, or activity levels are less relevant to skin health.

Question 2 of 5

Which behavioral characteristic describes the domestic abuser?

Correct Answer: D

Rationale: Low self-esteem. Batterers were usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, and have a great need to exercise control or power over their partners.

Question 3 of 5

The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?

Correct Answer: B

Rationale: Muffled heart tones and jugular venous distension (
B) suggest pericardial effusion or tamponade, a life-threatening complication requiring urgent follow-up. Chest pain (
A) and friction rub (
C) are expected, and mild fever (
D) is less urgent.

Question 4 of 5

Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?

Correct Answer: A

Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.

Question 5 of 5

The nurse is caring for a 12 year-old with an acute illness. Which of the following indicates the nurse understands common sibling reactions to hospitalization?

Correct Answer: B

Rationale: Visitation is helpful for both. Contact with the ill child helps siblings understand hospitalization and maintain relationships.

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