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

Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is performing a neurological assessment on a client post right cerebral vascular accident (CVA). Which finding, if observed by the nurse, would warrant immediate attention?

Correct Answer: A

Rationale: Decrease in level of consciousness. A further decrease in the level of consciousness would be indicative of a further progression of the CVA.

Question 2 of 5

Parents of a 7 year-old child call the clinic nurse because their daughter was sent home from school because of a rash. The child had been seen the day before by the provider and diagnosed with Fifth Disease (erythema infectiosum). What is the most appropriate action by the nurse?

Correct Answer: D

Rationale: Explain that this rash is not contagious and does not require isolation. Fifth Disease is not contagious once the rash appears, except in specific cases.

Question 3 of 5

While caring for a child with Reye's syndrome, the nurse should give which action the highest priority?

Correct Answer: C

Rationale: Assess level of consciousness. An altered level of consciousness suggests increasing intracranial pressure related to cerebral edema.

Question 4 of 5

A woman in a residence facility is having difficulty sleeping at night. Which action by the nurse is most appropriate initially?

Correct Answer: B

Rationale: A back rub and warm milk promote relaxation non-pharmacologically, addressing insomnia safely. Medication, walking, or tea (caffeine) are less appropriate.

Question 5 of 5

A client with schizophrenia is experiencing auditory hallucinations and is admitted for evaluation and treatment. A suitable activity for a client with schizophrenia who is experiencing auditory hallucinations is:

Correct Answer: D

Rationale: Taking a walk with the nurse provides distraction and support, reducing focus on hallucinations. Group activities or solitary tasks (B,
C) may be overwhelming or less therapeutic.

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