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Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

The nurse is planning care for the client who had a TRAM (transrectus abdominis myocutaneous) flap breast reconstruction. Which actions should the nurse include?

Correct Answer: B

Rationale: A. Upper-extremity exercise and ROM are restricted to reduce strain on the incision site. B.
To monitor for viability and adequacy of blood supply to the TRAM flap, the flap must be assessed hourly for the first 24 hours. C. Pressure over the flap is avoided until healing is complete. D. The affected arm should be elevated to promote venous return.

Question 2 of 5

The 1-year-old with a temperature of 103°F (39.4°C) is diagnosed with roseola. Which information should the nurse provide to the parent? Select all that apply.

Correct Answer: A,D

Rationale: Roseola is characterized by a high fever followed by a rose-pink rash after the fever subsides. Hand hygiene reduces transmission. Aspirin is contraindicated due to Reye's syndrome risk, oatmeal baths are not typically needed, and isolation beyond standard precautions is unnecessary.

Question 3 of 5

An elderly man tells the nurse that all his family members mumble when they talk. How should the nurse respond to this statement?

Correct Answer: B

Rationale: Perceiving speech as mumbling is a common sign of hearing loss in the elderly, warranting a hearing test.

Question 4 of 5

The nurse is caring for the pediatric client who was diagnosed with AIDS. Which assessment findings should alert the nurse to the development of Pneumocystis carinii pneumonia (PCP)?

Correct Answer: A

Rationale: PCP in AIDS presents with dyspnea, fever, nonproductive cough, and fatigue, indicating a serious opportunistic infection.

Question 5 of 5

The nurse is assessing an adolescent male diagnosed with gonorrhea. Which specific signs and symptoms should the nurse associate with the gonorrheal infection? Select all that apply.

Correct Answer: B,C

Rationale: Gonorrhea typically causes purulent urethral discharge and dysuria/frequency in males, not lesions or rashes.

Similar Questions

Following withdrawal from alcohol, a client is to receive disulfiram (Antabuse). The medication is prescribed for which of these purposes?
A young woman is admitted for the first time with a diagnosis of catatonic schizophrenia and is receiving chlorpromazine (Thorazine) daily. She is to go home for a weekend pass. What is the most important instruction to give her relative to her medications?
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
The nurse is caring for a 75-year-old widow admitted to the psychiatric hospital by her daughter, who became concerned when her mother began to talk in a confused manner about her husband who has been dead for seven years. In the hospital, especially at night, the client wanders into the other clients' rooms looking for her husband. What is the most appropriate action for the nurse to take when this woman wanders into the rooms of the other clients?
The nurse completes teaching with an adolescent newly diagnosed with acute hepatitis C. Which statement indicates the need for additional teaching?

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