NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

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NCLEX Trainer Test 4 Questions

Extract:


Question 1 of 5

The nurse is caring for a client with Ménière's disease. The nurse stands directly in front of the client when speaking. Which of the following BEST describes the rationale for the nurse's position?

Correct Answer: B

Rationale: by decreasing movement of client's head, vertigo attacks may be decreased

Question 2 of 5

The nurse is caring for a homebound client with a urinary catheter. The client's husband states that he thinks the catheter is obstructed. Which of the following observations would confirm this suspicion?

Correct Answer: A

Rationale: bladder distention is one of the earliest signs of obstructed drainage tubing

Question 3 of 5

A baby girl is born with a meningomyelocele. To prevent trauma to the sac, the nurse should place the infant:

Correct Answer: B

Rationale: Placing the infant prone with hips slightly elevated protects the meningomyelocele sac from trauma and pressure.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of type 2 diabetes about metformin (Glucophage). Which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Stopping metformin when blood sugar is normal is incorrect, as type 2 diabetes requires ongoing treatment to maintain control. Options A, B, and C are correct: taking with meals reduces GI upset, nausea is a side effect, and alcohol increases lactic acidosis risk.

Question 5 of 5

The nurse is to move a client up in bed without any help. Where should the nurse place the client's pillow?

Correct Answer: C

Rationale: Placing the pillow at the head of the bed supports the client's head after moving up, ensuring comfort and proper positioning.

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