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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

The nurse is assisting with the admission of a client who had a nephrectomy 6 hours ago. The client should be assigned to a semiprivate room with a client who has

Correct Answer: B

Rationale: The client with cellulitis and loose stools is least likely to pose an infection risk to the post-nephrectomy client, who is at risk for infection due to recent surgery. Other options involve conditions with higher infection risks or bleeding concerns.

Question 2 of 5

A female client is admitted for a breast biopsy. She says, tearfully to the nurse, 'If this turns out to be cancer and I have to have my breast removed, my partner will never come near me.' The nurse's best response would be which of these statements?

Correct Answer: D

Rationale: This is a general lead-in type of response that encourages further discussion without focusing on an area that the nurse, but possibly not the client, feels is a problem.

Question 3 of 5

A hearing-impaired client is becoming withdrawn and depressed. He reports that even with a hearing aid, he is having increased difficulty hearing. Which suggestion is least likely to be helpful?

Correct Answer: A

Rationale: A hearing guide dog is less helpful for communication compared to social engagement, TDD, or closed-caption TV, which directly address hearing loss.

Question 4 of 5

A client is on a low-residue diet. All of the following are on the client's tray. Which should be removed?

Correct Answer: C

Rationale: Strawberry jam contains seeds, which increase intestinal residue, contraindicated in a low-residue diet. Roast beef, mashed potatoes, and white bread are low-fiber and appropriate.

Question 5 of 5

A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?

Correct Answer: A

Rationale: Elbow. The elbow restraint will prevent the child from touching the surgical site without hindering movement of other parts of the body.

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