NCLEX Questions, NCLEX PN Exam Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 163

NCLEX-PN

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Question 1 of 5

The nurse is caring for a woman whose husband beats her regularly. Which is the most important long-term goal for this woman?

Correct Answer: B

Rationale: Feeling like a survivor empowers the woman, fostering resilience and self-efficacy, the most important long-term goal in domestic violence recovery.

Question 2 of 5

A client is able to partially bear weight and follow the nurse's instructions. Which would be the most appropriate method for the nurse to use to safely transfer this client?

Correct Answer: A

Rationale: A 1-person stand and pivot with a gait belt and walker is appropriate for a client who can partially bear weight and follow instructions. Other methods are either insufficient or overly complex.

Question 3 of 5

The physician has ordered a minimal bacteria diet on a client with neutropenia. Which seasoning is not permitted for this client?

Correct Answer: C

Rationale: A minimal bacteria diet for neutropenic clients avoids foods that may harbor bacteria, such as raw or undercooked foods and certain seasonings like pepper, which can contain mold or bacteria. Salt , lemon juice , and ketchup are generally processed and less likely to pose a bacterial risk.

Question 4 of 5

The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:

Correct Answer: A

Rationale: The phlebostatic axis is the reference point for accurate central venous pressure measurement, as it corresponds to the right atrium's level. The point of maximum impulse, Erb's point, and Tail of Spence are not used for this purpose, so answers B, C, and D are incorrect.

Question 5 of 5

The nurse is to apply an Ace wrap to the client's right lower leg. Which action should the nurse take to ensure that the dressing is not too tight?

Correct Answer: B

Rationale: Checking pedal pulses ensures the Ace wrap does not impair circulation. Removing hourly is impractical, Doppler is excessive, and leaving for 24 hours risks missing issues.

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