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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?

Correct Answer: C

Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.

Extract:

A colleague came in to work in your unit with scent of alcohol in his uniform. When asked, he claimed that on his way to work, a gentleman accidentally spilled a glass of wine on his shirt. However, you noted that his breath smells alcohol.


Question 2 of 5

Which of the following nursing actions will be best for the nurse to take?

Correct Answer: B

Rationale: Informing the supervisor addresses potential impairment, ensuring patient safety.

Extract:


Question 3 of 5

The nurse is teaching a 27 year-old client with asthma about their therapeutic regime. Which statement would indicate the need for additional instruction?

Correct Answer: C

Rationale: I need to limit my exercise, especially activities such as walking and running.' Limiting physical activity in an otherwise healthy, young client should not be necessary. If exercise intolerance exists, the asthma management plan should include specific medications to treat the problem such as using an inhaled beta-agonist 5 minutes before exercise. The goal is always to return to a normal lifestyle.

Extract:

Which of the following can be considered balanced diet?


Question 4 of 5

Peanut butter sandwich, apple, and milk.

Correct Answer: A

Rationale: A balanced diet consists of carbohydrates, protein, and fat. A peanut butter sandwich, apple, and milk provide a balanced mix of these nutrients.

Extract:

A patient with rheumatoid arthritis complains to the nurse about her back pain and said, 'I want a bed that is similar to what I have at home.'


Question 5 of 5

What would be an appropriate nursing response?

Correct Answer: D

Rationale: Assessment is the first step to be taken by the nurse. Asking the husband about the patient's home sleeping arrangements helps gather relevant information to address the patient's needs.

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