NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 6 Questions

Extract:


Question 1 of 5

The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client

Correct Answer: B

Rationale: Should alternate ambulation with bed rest with legs elevated. Encourage alternating periods of ambulation and bed rest with legs elevated to mobilize edema and ascites.

Question 2 of 5

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

Correct Answer: A

Rationale: Steadily increasing vital signs (e.g., heart rate, blood pressure) indicate progression toward delirium tremens, a life-threatening complication of alcohol withdrawal, necessitating additional sedation. Mild tremors, decreased respirations, or gastroinTest inal symptoms are expected or contraindicate more sedation.

Question 3 of 5

The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?

Correct Answer: A

Rationale: Separation anxiety. While a toddler will experience all of the stresses, separation from parents is the major stressor.

Question 4 of 5

The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client

Correct Answer: B

Rationale: Should alternate ambulation with bed rest with legs elevated. Encourage alternating periods of ambulation and bed rest with legs elevated to mobilize edema and ascites.

Extract:

An adult woman is admitted to an acute locked psychiatric unit one month prior to an election.


Question 5 of 5

Which of the following responses by the nurse is BEST?

Correct Answer: B

Rationale: Strategy: Determine the outcome of each answer choice. (1) psychiatric patients do not forfeit their constitutional rights (2) correct-patient can vote by absentee ballot (3) can vote by absentee ballot (4) not the nurse's responsibility

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