NCLEX Questions, NCLEX-PN Practice Questions PDF Questions, NCLEX-PN Questions, Nurselytic

Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of diverticulitis. Which dietary instruction is most appropriate?

Correct Answer: B

Rationale: Foods with seeds or nuts can irritate diverticula, increasing the risk of flare-ups.

Question 2 of 5

When performing a mental status assessment on an adult client with hypothyroidism, which behavior should the nurse expect?

Correct Answer: D

Rationale: Hypothyroidism slows metabolism, leading to impaired cognitive function, such as slowed thinking or memory issues.

Question 3 of 5

Which action provides the best evidence that a client with a colostomy is adjusting to the change in body image?

Correct Answer: C

Rationale: Providing self-care for the colostomy appliance indicates acceptance and adaptation to the body image change.

Question 4 of 5

The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?

Correct Answer: C

Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.

Question 5 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

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