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

Questions 164

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NCLEX Practice Test PN Questions

Extract:


Question 1 of 5

The nurse is caring for a client after a motor vehicle accident. The client's injuries include 2 fractured ribs and a concussion. The nurse notes which findings as expected neurological changes for the client with a concussion? Select all that apply.

Correct Answer: A,C,D

Rationale: Amnesia (
A), brief loss of consciousness (
C), and headache (
D) are common symptoms of concussion due to temporary brain dysfunction.

Question 2 of 5

The nurse has attended a staff education program about needlestick injuries. Which of the following statements by the nurse would require follow-up?

Correct Answer: B

Rationale: Recapping needles increases the risk of injury and is not recommended. Needles should be disposed of in sharps containers immediately after use.

Question 3 of 5

The nurse is caring for a client with a vascular access for hemodialysis. Which of these findings necessitates immediate action by the nurse?

Correct Answer: D

Rationale: It is a priority to report this finding since clients on hemodialysis are prone to infection, and the first sign is an elevated temperature.

Question 4 of 5

The nurse is caring for a group of clients on a medical surgical unit. Which client is most at risk for contracting a nosocomial infection?

Correct Answer: C

Rationale: An indwelling urinary catheter increases the risk of catheter-associated urinary tract infections, a common nosocomial infection, especially in older adults with prolonged catheter use.

Question 5 of 5

During the initial home visit, a nurse is discussing the care of a client newly diagnosed with Alzheimer's disease with family members. Which of these interventions would be most helpful at this time?

Correct Answer: D

Rationale: Alzheimer's disease, a progressive chronic illness, greatly challenges caregivers. The nurse can be of greatest assistance in helping the family to use communication strategies to enhance their ability to relate to the client.

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