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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

The home health nurse is contributing to the plan of care for a 1-year-old client recently diagnosed with failure to thrive. Which of the following interventions should the nurse recommend including in the client's plan of care? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Assessing parenting, observing feedings, monitoring growth, and reviewing intake identify causes of failure to thrive. Nasogastric tubes are not initially indicated.

Question 2 of 5

The nurse is caring for a 2-year-old client who has iron deficiency anemia. The nurse should recognize that this condition is most likely the result of

Correct Answer: C

Rationale: Excessive cow's milk intake in toddlers can lead to iron deficiency anemia due to low iron content and potential for gastrointestinal irritation.

Question 3 of 5

The nurse is talking with the parent of a pediatric client with type 1 diabetes mellitus who has influenza. Which of the following statements by the parent would require follow-up?

Correct Answer: D

Rationale: Decreasing insulin during illness can lead to hyperglycemia or ketoacidosis, as insulin needs may increase.

Question 4 of 5

The evening nurse caring for an adult who had a partial gastrectomy this morning notes that the drainage from the nasogastric tube is bright red. What action should the nurse take?

Correct Answer: B

Rationale: Bright red nasogastric drainage suggests active bleeding post-gastrectomy, requiring immediate reporting to assess for hemorrhage.

Question 5 of 5

The daughter of an 80-year-old client recently diagnosed with Alzheimer disease (AD) says to the nurse, 'I guess I can anticipate getting this disease myself at some point.' What is an appropriate response by the nurse?

Correct Answer: A

Rationale: Regular exercise is associated with a reduced risk of Alzheimer disease. Family history is a risk factor, and aluminum is not a proven cause.

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