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

Questions 164

NCLEX-PN

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NCLEX Practice Test PN Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is confused and is in soft wrist restraints. Which tasks can the nurse safely assign to unlicensed assistive personnel? Select all that apply.

Correct Answer: A,C,D,E

Rationale: UAP can assist with bedpan use (
A), perform range-of-motion exercises (
C), report skin changes (
D), and reposition the client (E). Checking circulation and sensation (
B) requires nursing assessment skills.

Question 2 of 5

A child's burn is debrided each day with hydrotherapy to remove the eschar. The child's parents ask why this immersion is necessary. What is the most appropriate response for the nurse to make?

Correct Answer: A

Rationale: Hydrotherapy removes eschar to prevent infection and prepare for grafting, accurately explaining the procedure's purpose.

Question 3 of 5

The nurse is collecting data from a client at 15 weeks gestation who has hyperemesis gravidarum. Which of the following findings would be consistent with the condition?

Correct Answer: C

Rationale: Hyperemesis gravidarum causes severe vomiting, leading to dehydration and starvation, resulting in ketosis. Positive ketones in urinalysis confirm this metabolic state.

Question 4 of 5

The nurse is collecting data from a 30-month-old client. Which of the following findings would require follow-up?

Correct Answer: C

Rationale: Lack of nighttime bladder control at 30 months may indicate developmental delay or medical issues, requiring follow-up to assess for underlying causes.

Question 5 of 5

An older adult is seen in clinic. During the assessment process, all of the following are expressed or noted. Which is of most immediate concern to the nurse?

Correct Answer: B

Rationale: A productive cough suggests a respiratory infection, potentially serious in an older adult, requiring immediate evaluation. Forgetfulness, slow ambulation, or presbyopia are less urgent.

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