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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is performing an assessment of the motor function in a client with a head injury. The best technique is

Correct Answer: D

Rationale: rubbing the sternum. The purpose is to assess the non-responsive client's reaction to a painful stimulus after less noxious methods have been tried.

Question 2 of 5

An adult is to go to surgery this morning. When the nurse goes to medicate the client, she notes that she has a ring with several shiny stones in it on her left ring finger. There are no relatives present. What is the best nursing action?

Correct Answer: C

Rationale: Securing valuables in the hospital safe protects the ring during surgery, adhering to safety protocols. Taping, bedside storage, or waivers risk loss.

Question 3 of 5

A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse's immediate attention?

Correct Answer: C

Rationale: Client reports prickling sensation in the right hand. A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.

Question 4 of 5

The nurse is providing discharge teaching for a client with a history of alcoholism. Which of the following statements, if made by the client, indicates that the client understands the teaching?

Correct Answer: A

Rationale: Complete abstinence is required for alcoholism recovery, including avoiding alcohol-containing products like cough medicines, which could trigger relapse. Diluted drinks (
B) or nonalcoholic beer (
C) risk relapse due to taste cues, and stopping disulfiram prematurely (
D) increases relapse risk.

Extract:

A client who had previously signed the consent for liver biopsy has changed his mind and no longer wants the procedure.


Question 5 of 5

The best initial response by the nurse would be:

Correct Answer: B

Rationale: Exploring the reason for refusal respects the patient's autonomy and facilitates informed decision-making.

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