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

Questions 164

NCLEX-PN

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NCLEX Practice Test PN Questions

Extract:


Question 1 of 5

The mother of 6-month-old twins is in the doctor's office because one of the infants has an ear infection. The mother says to the nurse, 'I just don't know if I can handle another problem. It is all so overwhelming.' How should the nurse respond initially?

Correct Answer: D

Rationale: Acknowledging the mother's stress and exploring her challenges builds rapport and identifies support needs. Other responses dismiss or redirect her concerns.

Question 2 of 5

The nurse is caring for a client who is confused and is in soft wrist restraints. Which tasks can the nurse safely assign to unlicensed assistive personnel? Select all that apply.

Correct Answer: A,C,D,E

Rationale: UAP can assist with bedpan use (
A), perform range-of-motion exercises (
C), report skin changes (
D), and reposition the client (E). Checking circulation and sensation (
B) requires nursing assessment skills.

Question 3 of 5

The nurse is caring for a hospitalized adult who is receiving a blood transfusion. Twenty minutes after the start of the transfusion, the client complains of feeling cold and is shivering. What is the best first action for the LPN to take?

Correct Answer: D

Rationale: Shivering and feeling cold during a transfusion suggest a possible transfusion reaction, requiring immediate cessation of the transfusion to prevent further complications, followed by vital signs and physician notification.

Question 4 of 5

The nurse on the telemetry unit is preparing client medications in the medication room. Which of the following actions should the nurse perform to be consistent with client safety practices related to medication administration? Select all that apply.

Correct Answer: A,B,D,E

Rationale: These actions align with safe medication administration practices: verifying the 'five rights' (
A), ensuring medication integrity (
B), checking relevant lab values for anticoagulants (
D), and using gloves to prevent absorption of transdermal medications (E).

Question 5 of 5

A client undergoes cryosurgery for the removal of a basal cell carcinoma on the ear. Which of the following best describes the appearance of the area a few days after surgery?

Correct Answer: A

Rationale: Post-cryosurgery, the treated area typically forms a dry, crusty scab and may be itchy as it heals.

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