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

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is caring for a client who had a colostomy. Which comment by the client indicates that she is showing an interest in learning about her colostomy?

Correct Answer: B

Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement.

Question 2 of 5

A recovering alcoholic asked the nurse, 'Will it be ok for me to just drink at special family gatherings?' Which initial response by the nurse would be best?

Correct Answer: D

Rationale: A recovering person cannot return to drinking without starting the addiction process over.
Total abstinence is required to maintain recovery.

Question 3 of 5

The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?

Correct Answer: C

Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.

Question 4 of 5

A new client is admitted with a major abscess on her thigh caused by scratching mosquito bites with dirty hands after digging in her garden. She is on isolation precautions in a private room after surgical debridement. The physician changes her dressings daily. What should the nurse wear when providing care for this client?

Correct Answer: C

Rationale: Gloves and gown are required for contact precautions due to the abscess, preventing transmission of infection.

Question 5 of 5

A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.

Correct Answer: A, C, D

Rationale: Short fingernails (
A), cholestyramine timing (
C), and moisturizing cream (
D) reduce itching and protect skin. Hot water (
B) worsens itching, and wool gloves/tight stockings (E) may irritate skin.

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