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Questions 160

NCLEX-PN

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Question 1 of 5

The nurse is caring for a client with a deep vein thrombosis (DVT). Which position should be avoided?

Correct Answer: C

Rationale: Side-lying with legs bent can impede venous return, worsening DVT.

Question 2 of 5

Which statement made by the parents of a toddler best suggests that the child has cystic fibrosis?

Correct Answer: A

Rationale: Salty perspiration is a hallmark of cystic fibrosis due to defective chloride transport, detectable through a sweat chloride test.

Question 3 of 5

The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?

Correct Answer: C

Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.

Question 4 of 5

The nurse reviews the laboratory results exhibited of the client hospitalized with testicular cancer. Which conclusion by the nurse is most accurate?

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Correct Answer: D

Rationale: A. The WBCS are WNL; there is no indication of a developing infection. B. There is no information in the stem about nutritional intake and the serum albumin or prealbumin is not reported in the laboratory results to make a judgment about Whether the client's nutrient intake is inadequate. C. The elevated glucose level is likely related to the body's physiological response to stress. D. The decreased Hgb indicates anemia, and the liver enzymes are elevated (AST, ALT). These changes occur when testicular cancer has metastasized.

Question 5 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

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