NCLEX Questions, Best NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 149

NCLEX-PN

NCLEX-PN Test Bank

Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

The nurse is caring for the adolescent diagnosed with Lyme disease. Which nursing problem should the nurse document in the plan of care?

Correct Answer: D

Rationale: Lyme disease commonly causes joint and muscle pain due to inflammation, making this a priority nursing diagnosis.

Question 2 of 5

A 75-year-old woman has been widowed for 12 years. She was forced to vacate her apartment several months ago when fire destroyed the building. She has been wandering about the city, begging for money to buy food, and sleeping on park benches or in secluded areas of large buildings. She carries her personal belongings in three bundles. One day she enters the bus terminal and becomes very noisy and quarrelsome. The police are called, and she is brought to a psychiatric unit. To plan care for this woman, which of these actions should be taken first?

Correct Answer: D

Rationale: Assessing physical condition is the priority for a homeless person with potential malnutrition, exposure, or untreated conditions.

Question 3 of 5

A client is receiving cancer chemotherapy. Metoclopramide (Reglan) is also ordered. The client asks the nurse why she is receiving Reglan. What nursing response is most accurate?

Correct Answer: D

Rationale: Metoclopramide (Reglan) is an antiemetic, prescribed to control chemotherapy-induced nausea and vomiting, improving patient comfort.

Question 4 of 5

The nurse is discharging the 10-year-old who was hospitalized for RF with signs of CHF. What should be the nurse's priority with discharge teaching?

Correct Answer: C

Rationale: Rheumatic fever (RF) with congestive heart failure (CHF) requires activity restrictions to prevent cardiac strain. Ensuring the child understands and adheres to these is critical.

Question 5 of 5

A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?

Correct Answer: D

Rationale: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.

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