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

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

The nurse is changing a wet to dry dressing. Which action is appropriate?

Correct Answer: D

Rationale: Packing the wound with sterile gloves maintains sterility, ensuring proper wet-to-dry dressing application for debridement.

Question 2 of 5

The nurse is providing care to a client with posttraumatic stress disorder following a terrorist attack at the client's place of worship. The client says, 'I'm just so worried all the time. I will never be safe again!' What is the priority nursing action?

Correct Answer: A

Rationale: Acknowledging feelings (
A) builds trust and validates the client's experience, making it the priority. Assessing support (
B), discussing trauma (
C), or offering medication (
D) are secondary.

Question 3 of 5

The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.

Question 4 of 5

The nurse is talking with a client with major depressive disorder who has been taking paroxetine for the past 3 weeks. Which of the following statements by the client would require immediate follow-up?

Correct Answer: B

Rationale: Persistent depression with increased energy (
B) may indicate rising suicide risk, requiring immediate follow-up. Appetite (
A), sleep (
C), and libido (
D) changes are common side effects.

Question 5 of 5

The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which finding requires intervention by the nurse?

Correct Answer: A

Rationale: Contraction duration of 95 seconds (
A) is too long and may reduce fetal oxygenation, requiring intervention. Frequency (
B), intensity (
C), and resting tone (
D) are within normal limits.

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