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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

The nurse is planning an approach to decrease urinary incontinence in an elderly client. Which activity will do the most to help prevent incontinence?

Correct Answer: D

Rationale: Adequate hydration and frequent toileting (every two hours) promote bladder health and reduce incontinence. Fluid restriction or unrelated exercises are ineffective.

Extract:

Laboratory Reference Ranges
Sodium
136-145 mEq/L
(136-145 mmol/L)


Question 2 of 5

The medical-surgical nurse cares for a group of clients. Which client situations would prompt the nurse to notify the health care provider during the middle of the night? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Extremity drift (
A), unconsciousness (
B), heparin before surgery (
C), and severe hyponatremia (
D) are urgent and require notification. Refusing pain medication (E) is not critical.

Extract:


Question 3 of 5

The nurse is planning an approach to decrease urinary incontinence in an elderly client. Which activity will do the most to help prevent incontinence?

Correct Answer: D

Rationale: Adequate hydration and frequent toileting (every two hours) promote bladder health and reduce incontinence. Fluid restriction or unrelated exercises are ineffective.

Question 4 of 5

The nurse is caring for a client who has bleeding esophageal varices. What should the nurse expect might develop in this client? Select all that apply.

Correct Answer: A,B

Rationale: Bleeding varices cause blood loss, leading to tarry stools (melena) from digested blood and confusion from hepatic encephalopathy due to liver dysfunction. Abdominal pain, hypertension, tremors, or hallucinations are less directly related.

Question 5 of 5

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

Correct Answer: A

Rationale:
To elicit the biceps reflex, the nurse places her thumb on the biceps tendon in the antecubital space and taps it with a reflex hammer, so A is correct. Answer B is incorrect as it describes a different technique. Answer C refers to the patellar reflex, and Answer D is not a standard method for the biceps reflex.

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