NCLEX Questions, Free NCLEX RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 148

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for an elderly client with dementia. The family wishes to take the client home instead of placing her in an assisted living facility. Which information should the nurse include in his discharge teaching? Select all that apply.

Correct Answer: A, D, E

Rationale: Providing community resources, social worker contact, and home safety information supports the family’s decision and promotes safety. Discussing provider disapproval or assisted living advantages is inappropriate.

Question 2 of 5

The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?

Correct Answer: A

Rationale: Aspirating stomach content confirms nasogastric tube placement, preventing aspiration.

Question 3 of 5

A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client's glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?

Correct Answer: B

Rationale: GFR <15 mL/min indicates stage 5 CKD (end-stage renal disease), often requiring dialysis or transplant.

Question 4 of 5

A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client's cervix is 5cm dilated with 75% effacement. Based on the nurse's assessment the client is in which phase of labor?

Correct Answer: A

Rationale: A cervix dilated to 5 cm with 75% effacement indicates the active phase of labor.

Question 5 of 5

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? Select all that apply.

Correct Answer: B,C,F

Rationale: Barriers to learning include fear (
B), which can hinder concentration; illiteracy (
C), which affects understanding written instructions; and hearing impairment (F), which impedes verbal communication. Age 55 (
A), weakness (
D), and asking questions (E) are not barriers.

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