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

Questions 176

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Question 1 of 5

The nurse is instructing the client with a fractured femur in crutch walking. When instructing the client in the best method of manipulating stairs, the nurse should tell the client to:

Correct Answer: B

Rationale: For ascending stairs, lead with the unaffected leg to bear weight, followed by crutches and affected leg. This ensures stability and safety.

Question 2 of 5

A nurse is reinforcing fall-prevention teaching to the spouse of a 78-year-old client who recently experienced a stroke. What suggestion by the nurse is most effective in preventing falls?

Correct Answer: C

Rationale: Removing rugs and installing grab bars (
C) directly addresses environmental hazards, the most effective fall prevention strategy. Rising slowly (
A), using a walker (
B), or hiring an aide (
D) are helpful but less comprehensive.

Question 3 of 5

The nurse is collecting data from a 10-year-old client during a routine physical examination. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, C, D

Rationale: Using anatomical terminology (
A) promotes understanding. Explaining equipment and procedures (
C) reduces anxiety. Offering a gown and allowing underwear (
D) respects privacy. Adult examination sequences (
B) may not suit pediatric needs, and parents rating pain (E) may not accurately reflect the child's experience.

Question 4 of 5

The nurse helps the health care provider perform a thoracentesis at the bedside. In which position does the nurse place the client to facilitate needle insertion and promote comfort?

Correct Answer: D

Rationale: Upright leaning forward (
D) facilitates lung expansion and fluid access while ensuring comfort. Other positions (A, B,
C) are less effective or uncomfortable.

Question 5 of 5

A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.

Correct Answer: A, C, D

Rationale: Short fingernails (
A), cholestyramine timing (
C), and moisturizing cream (
D) reduce itching and protect skin. Hot water (
B) worsens itching, and wool gloves/tight stockings (E) may irritate skin.

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