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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is receiving antibiotic therapy and develops Clostridioides difficile colitis. Which of the following infection-control precautions should the nurse implement? Select all that apply.

Correct Answer: A,D,E

Rationale: Bleach disinfection (
A), gowns (
D), and gloves (E) are required for C. difficile, which is spore-forming. Alcohol sanitizers (
B) are ineffective against spores, and masks (
C) are not routinely needed.

Question 2 of 5

The nurse is caring for all of the following persons. Which one is most in need of restraints?

Correct Answer: B

Rationale: The confused postoperative client risks dislodging critical tubes, necessitating restraints if non-restraint interventions fail. Others pose lower immediate risk.

Question 3 of 5

The day shift nurse provides handoff of care report to the oncoming night shift nurse. Which of the following statements by the nurse are appropriate to include in the report? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Acetaminophen administration (
A), morphine effect (
B), irrigation replacement (
D), and ultrasound schedule (E) are relevant to care. Family behavior (
C) is subjective and inappropriate.

Question 4 of 5

The nurse is caring for a 12 year-old with an acute illness. Which of the following indicates the nurse understands common sibling reactions to hospitalization?

Correct Answer: B

Rationale: Visitation is helpful for both. Contact with the ill child helps siblings understand hospitalization and maintain relationships.

Question 5 of 5

A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago, to confirm the presence or absence of an infection, it is most important for all family members to have a

Correct Answer: D

Rationale: PPD intradermal test. The administration of the PPD intradermal test determines the presence of the infection with the Mycobacterium tuberculosis organism. It is effective at 3 to 6 weeks after the initial infection.

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