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

Questions 160

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is preparing to perform a sterile dressing change. Which action maintains the sterile field?

Correct Answer: A

Rationale: Opening the sterile kit away from the body prevents contamination of the sterile field.

Question 2 of 5

When performing a mental status assessment on an adult client with hypothyroidism, which behavior should the nurse expect?

Correct Answer: D

Rationale: Hypothyroidism slows metabolism, leading to impaired cognitive function, such as slowed thinking or memory issues.

Question 3 of 5

Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?

Correct Answer: A

Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.

Question 4 of 5

The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?

Correct Answer: C

Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.

Question 5 of 5

After an upper GI X-ray, it is most important for the nurse to monitor which of the following?

Correct Answer: B

Rationale: Barium used in an upper GI X-ray can cause constipation or impaction, so monitoring stool consistency is critical.

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