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

Questions 210

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is contributing to the plan of care for a client with diabetes who reports breast tenderness, vaginal discharge, and urinary frequency. Which action is most important to include in the plan of care?

Correct Answer: C

Rationale: Determining the date of the client's last menstrual period is critical to assess for pregnancy or menopausal changes, which could explain the symptoms and impact diabetes management. Breast self-exams and vaginal discharge characteristics are less urgent, and blood sugar logs, while important, are not directly related to the reported symptoms.

Question 2 of 5

A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is

Correct Answer: D

Rationale: The tonic-clonic seizure appears suddenly and often leads to brief loss of consciousness. The greatest risk for the child is from airway blockage, as might follow aspiration.

Extract:

Laboratory reference ranges
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L)


Question 3 of 5

The nurse is caring for a client with diabetes who is being discharged with a prescription for glyburide. Which statement by the client indicates a need for further instruction?

Correct Answer: D

Rationale: Glyburide stimulates insulin release to lower blood glucose but does not promote weight loss; it may cause weight gain. Avoiding alcohol, reporting hypoglycemia, and checking food labels are correct actions, indicating understanding.

Extract:


Question 4 of 5

A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:

Correct Answer: A

Rationale: A tort is a civil wrong, like negligence, that may lead to a civil trial. Crimes, including misdemeanors and felonies, are offenses against the public, often prosecuted criminally. Coordinated Care

Question 5 of 5

The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?

Correct Answer: B

Rationale: Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.

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