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

Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?

Correct Answer: A

Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.

Question 2 of 5

A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, 'I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers.' The nurse's initial intervention should be what focus?

Correct Answer: B

Rationale: Set time aside to get the mother to express her feelings and concerns. This facilitates understanding and resolution of her concerns.

Question 3 of 5

When the nurse asks a client to follow a moving finger, the nurse is assessing which cranial nerve?

Correct Answer: C

Rationale: Cranial nerve IV (trochlear) controls the superior oblique eye muscle, responsible for downward and inward eye movement, tested by following a moving finger.

Extract:

When giving NG feeding, the nurse was observed of not checking the NGT placement prior to administering the feeding in spite of previous instructions from a colleague.


Question 4 of 5

Appropriate action taken at this time would include:

Correct Answer: C

Rationale: Reminding the colleague reinforces safe practice without escalating unnecessarily.

Extract:

Which of the following individuals is at greatest risk for experiencing cerebral vascular accident?


Question 5 of 5

A 50-year-old African-American male with history of hypertension.

Correct Answer: A

Rationale: This patient has multiple risk factors for CVA: African-American race, male gender, age, and hypertension.

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