NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

The nurse is caring for a client with overflow urinary incontinence related to diabetic neuropathy. Which of the following interventions are appropriate?

Correct Answer: C,D,E

Rationale: Inspecting for skin breakdown (
C), measuring postvoid residuals (
D), and double voiding (E) manage overflow incontinence. Restricting fluids (
A) risks dehydration, and bearing down (
B) may worsen incontinence.

Question 2 of 5

The nurse is reinforcing skin care guidelines for a client who is receiving external radiation therapy. Which of the following statements by the client would indicate a correct understanding of the teaching?

Correct Answer: C,D,E

Rationale: Sun protection (
C), gentle washing (
D), and loose clothing (E) are correct for radiation therapy skin care. Ice packs (
A) can damage skin, and baby oil (
B) may irritate or trap radiation.

Question 3 of 5

The nurse is screening clients for those at risk of developing nephrolithiasis. Which of the following factors would increase a client's risk of developing nephrolithiasis?

Correct Answer: A,B,E

Rationale: Gout (
A), dehydration (
B), and hyperparathyroidism (E) increase nephrolithiasis risk due to uric acid, concentrated urine, and calcium imbalances, respectively. Hypokalemia (
C) and thrombocytopenia (
D) are unrelated.

Question 4 of 5

The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which client statement requires further investigation?

Correct Answer: A

Rationale: Burning on urination (
A) suggests a urinary tract infection, requiring investigation. Dribbling (
B), nocturia (
D), and missing doses (
C) are common with BPH or medication non-adherence but less urgent.

Question 5 of 5

The nurse at the prenatal clinic is reinforcing education to a client who is HIV positive. Which information is appropriate for the nurse to include?

Correct Answer: A

Rationale: Continuing antiretroviral therapy (
A) during pregnancy reduces HIV transmission to the infant. Tdap vaccine (
B) is recommended in pregnancy. Breastfeeding (
C) is contraindicated in HIV-positive mothers in high-resource settings. Infants (
D) require prophylaxis post-birth.

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