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Questions 164

NCLEX-PN

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Question 1 of 5

The nurse enters a client’s room just as the unlicensed assistive personnel (UAP) is completing a bath and placing thigh-high anti-embolism stockings on the client. Which situation would cause the nurse to intervene?

Correct Answer: D

Rationale: Rolling and folding the stockings creates pressure points, risking skin breakdown and poor circulation. Supine application and correct toe opening placement are appropriate.

Question 2 of 5

The nurse in an outpatient clinic is caring for a client at 34 weeks gestation. The client is taking ferrous sulfate for anemia and reports constipation. Which of the following recommendations should the nurse reinforce for this client? Select all that apply.

Correct Answer: B,C

Rationale: Fruits and vegetables provide fiber, and exercise promotes bowel motility, relieving constipation. Dairy may worsen constipation, stimulant laxatives are not first-line in pregnancy, and coffee is not a primary solution.

Question 3 of 5

When interviewing the parents of a child with asthma, it is most important to assess the child's environment for what factor?

Correct Answer: A

Rationale: Animal dander is a very common allergen affecting persons with asthma. Other triggers may include pollens, carpeting and household dust.

Question 4 of 5

The nurse is suctioning an adult's tracheostomy tube. What action is essential before starting to suction the client?

Correct Answer: B

Rationale: Pre-oxygenation with high oxygen levels prevents hypoxia during tracheostomy suctioning, critical for patient safety, unlike water, consents, or communication aids.

Question 5 of 5

A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?

Correct Answer: D

Rationale: A-C are associated side effects of Tegretol.

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