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

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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is caring for a client who has a hip fracture and is placed in Buck traction. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: B,C,D,E

Rationale: Monitoring for skin breakdown (
B), neurovascular checks (
C), neutral positioning (
D), and pain relief (E) are essential for Buck traction. Placing the client on the affected side (
A) is incorrect as it may disrupt traction.

Question 2 of 5

The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?

Correct Answer: B

Rationale: Muffled heart tones and jugular venous distension (
B) suggest pericardial effusion or tamponade, a life-threatening complication requiring urgent follow-up. Chest pain (
A) and friction rub (
C) are expected, and mild fever (
D) is less urgent.

Question 3 of 5

The nurse is caring for a client with bulimia nervosa. It would be a priority for the nurse to

Correct Answer: C

Rationale: Monitoring for 1-2 hours after meals (
C) prevents purging, a priority in bulimia management. Time limits (
A) may increase anxiety, overnight checks (
B) are less relevant, and discussing complications (
D) is educational but not immediate.

Question 4 of 5

A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?

Correct Answer: D

Rationale: Chest pain radiating to the jaw and left arm is a classic symptom of myocardial infarction, requiring immediate action to assess for a life-threatening cardiac event.

Question 5 of 5

The health care provider (HCP) explains the risks and benefits of a procedure to the client through an interpreter. The HCP leaves after asking the nurse to witness the client's signature on the consent. The interpreter and client now have a lengthy discussion in the foreign language. The nurse should take which action at this time?

Correct Answer: A

Rationale: Asking the interpreter to explain the discussion (
A) ensures the nurse understands any concerns or clarifications, verifying informed consent. Gestures (
B) are unreliable, the interpreter witnessing (
C) is inappropriate, and noting interpreter use (
D) is insufficient without understanding the discussion.

Similar Questions

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The nurse is reinforcing teaching to parents about childhood nutrition and feeding practices. The nurse recognizes that which snack is best for a toddler?
The nurse is caring for a hospice client with advanced heart failure who is having trouble breathing. Which comfort intervention should the nurse implement first?
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