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

Questions 164

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Question 1 of 5

The nurse enters the room of a client with dementia and observes the client grimacing while pulling at the indwelling urinary catheter. The nurse notes blood trickling from the urinary meatus and pink-tinged urine in the urinary drainage bag. It would be a priority for the nurse to

Correct Answer: B

Rationale: Blood and grimacing suggest trauma or irritation from the catheter. Deflating the balloon allows safe removal to prevent further injury, pending provider orders.

Question 2 of 5

Spirituality affects a client's life in all of the following areas except:

Correct Answer: D

Rationale: Spirituality is a belief in or relationship with some higher power, creative force, divine being, or infinite source of energy and does not have any effect on genetic makeup.

Question 3 of 5

A woman is scheduled for an electromyography procedure (EMG) in the outpatient department. What should the nurse say to the woman?

Correct Answer: D

Rationale: EMG requires no special preparation, as it involves muscle and nerve testing without fasting, allergies, or caffeine restrictions.

Question 4 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 5 of 5

The nurse is teaching a client who has a hip prosthesis following total hip replacement. Which of the following should be included in the instructions for home care?

Correct Answer: D

Rationale: Do not cross your legs. Crossing legs can exceed the 90-degree hip flexion limit, risking dislocation.

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