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

Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: A

Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.

Question 2 of 5

The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.

Correct Answer: C

Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.

Question 3 of 5

A client is admitted with a pressure ulcer in the sacral area. The partial thickness wound is 4 cm by 7 cm, the wound base is red and moist with no exudate and the surrounding skin is intact. Which of the following coverings is most appropriate for this wound?

Correct Answer: D

Rationale: Occlusive moist dressing. This supports healing by maintaining a moist environment for granulation tissue.

Question 4 of 5

The nurse is observing client care situations. Which of the following situations would require an order for physical restraints? Select all that apply.

Correct Answer: D,E

Rationale: Belt and ankle restraints require a provider's order due to their restrictive nature. Immobilizers, mummy restraints, and padded rails are typically used for specific purposes without restraint orders.

Question 5 of 5

An 8-month-old infant is scheduled for balloon angioplasty of a congenital pulmonic stenosis in the cardiac catheterization laboratory. Which finding could possibly delay the procedure and should be reported?

Correct Answer: D

Rationale: Severe diaper rash may increase infection risk during catheterization, potentially delaying the procedure.

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