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 anaphylaxis. Which medication should be readily available?

Correct Answer: A

Rationale: Epinephrine is the first-line treatment for anaphylaxis to reverse airway constriction and shock.

Question 2 of 5

Which instruction regarding rescue breathing is important to include in the parent-teaching plan when a newborn is at risk for sudden infant death syndrome (SIDS)?

Correct Answer: B

Rationale: For infant rescue breathing, covering the nose and mouth and blowing just enough air to make the chest rise ensures effective ventilation without overinflation.

Question 3 of 5

A non-English-speaking Hispanic client is admitted to the hospital to rule out myocardial infarction. The nurse performs a cultural assessment. Which information should be included? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Food preferences, primary language, religion, and pain status are relevant for culturally sensitive care and effective communication.

Question 4 of 5

The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?

Correct Answer: B

Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.

Question 5 of 5

The nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: High-fiber foods can cause blockages in a new colostomy; low-residue foods are recommended initially.

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