NCLEX Questions, NCLEX Trainer Test 1 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 1 Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is postoperative day 1 after a total hip replacement. Which of the following actions should the nurse prioritize?

Correct Answer: A

Rationale: Early ambulation prevents complications like thrombosis and promotes recovery. Options B, C, and D are secondary or incorrect.

Question 2 of 5

The nurse is assessing a dark-skinned client with anemia. Which part of the body would the nurse assess for pallor?

Correct Answer: D

Rationale: The buccal mucosa is reliable for assessing pallor in dark-skinned clients, as skin pigmentation may mask changes elsewhere.

Extract:

A client who is receiving a tube feeding around the clock.


Question 3 of 5

Which of the following nursing actions is MOST appropriate?

Correct Answer: A

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-there is an increased growth of organisms after four hours (2) inappropriate due to increased organism growth (3) inappropriate due to increased organism growth (4) not a necessary action to maintain asepsis

Extract:


Question 4 of 5

The mother of a 2-month-old child asks the nurse when she should start her son on solids. He is taking about 30 oz of formula per day. How should the nurse respond?

Correct Answer: C

Rationale: Solids are typically introduced between 4-6 months when infants have better head control and digestive maturity, not at 2 months or based on formula volume.

Question 5 of 5

An adult client complains of dizziness when getting out of bed in the morning. Which instruction should the nurse give the nursing assistant regarding care of this client?

Correct Answer: B

Rationale: Sitting on the bed's edge minimizes orthostatic hypotension, reducing dizziness and fall risk during morning transitions.

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