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

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 6 inches (15.2 cm), the nurse notes a small amount of urine in the tubing. Which of the following actions should the nurse take next?

Correct Answer: D

Rationale: Advancing to the bifurcation (
D) ensures proper placement in the bladder before inflating the balloon. Measuring output (
A), inflating early (
B), or securing (
C) are premature.

Question 2 of 5

What would the nurse expect to see while assessing the growth of children during their school age years?

Correct Answer: D

Rationale: School age children gain about 5.5 pounds each year and increase about 2 inches in height.

Question 3 of 5

A client with obesity reports several failed attempts at weight loss. Which client statement best indicates that the client is ready and motivated for successful weight loss?

Correct Answer: A

Rationale: Signing up as a dog walker (
A) shows a concrete behavioral change, indicating readiness. Understanding benefits (
B), short-term goals (
C), or external encouragement (
D) are less indicative of sustained motivation.

Question 4 of 5

The nurse is caring for an 87 year-old client with urinary retention. Which finding should be reported immediately?

Correct Answer: A

Rationale: Fecal impaction. The nurse should report fecal impaction or constipation which can cause obstruction of the bladder outlet. Bladder outlet obstruction is a common cause of urine retention in the elderly.

Question 5 of 5

All of the following clients assigned to LPN/LVN ring their call bells. Which client needs the most immediate attention?

Correct Answer: C

Rationale: Chest pain during a blood transfusion suggests a possible transfusion reaction, a life-threatening emergency requiring immediate intervention. Bathroom needs, arthritis pain, or postoperative pain are less urgent.

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