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

Questions 176

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Question 1 of 5

The nurse has reinforced teaching with a client with newly diagnosed polycythemia vera. Which of the following statements by the client would require follow-up?

Correct Answer: A

Rationale: Iron supplements (
A) can worsen polycythemia vera by increasing red blood cell production, requiring follow-up. Increased fluids (
B), phlebotomy (
C), and aspirin (
D) are appropriate.

Question 2 of 5

While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?

Correct Answer: B

Rationale: Separation from parents. Separation anxiety is the greatest stress for a toddler during hospitalization.

Question 3 of 5

The nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 6 inches (15.2 cm), the nurse notes a small amount of urine in the tubing. Which of the following actions should the nurse take next?

Correct Answer: D

Rationale: Advancing to the bifurcation (
D) ensures proper placement in the bladder before inflating the balloon. Measuring output (
A), inflating early (
B), or securing (
C) are premature.

Question 4 of 5

Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?

Correct Answer: D

Rationale: Active listening. This skill, along with silence, encourages the client to verbalize feelings.

Question 5 of 5

A woman is admitted with Hodgkin's disease. Which does the nurse expect the client to report?

Correct Answer: A

Rationale: Hodgkin's disease typically presents with painless swollen lymph nodes, a hallmark symptom the nurse should expect.

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