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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 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.

Question 2 of 5

A newborn is to receive phototherapy for hyperbilirubinemia. Which nursing action is essential?

Correct Answer: D

Rationale: Covering the eyes protects the newborn's retinas from phototherapy light, a critical safety measure.

Question 3 of 5

The physician orders palifermin (Kepivance) 60 mcg/kg to be administered daily. The client weighs 35 kg. The medication is supplied 5 mg/mL. How many mL would you administer?

Correct Answer: A

Rationale: Dose: 60 mcg/kg × 35 kg = 2100 mcg = 2.1 mg. 2.1 mg ÷ 5 mg/mL = 0.42 mL. Other options are incorrect calculations.

Question 4 of 5

Which of the following findings is most typical of a client with a fractured hip?

Correct Answer: A

Rationale: Pain in the hip and leg is the most typical symptom of a hip fracture. Diminished sensation, absent pulses, or disalignment may occur but are less common.

Question 5 of 5

The nurse is caring for a client with a tracheostomy. Which of the following actions should the nurse perform to prevent complications?

Correct Answer: B

Rationale: Cleaning the inner cannula with sterile technique prevents infection and ensures airway patency, a priority in tracheostomy care. Suctioning (
A) is as needed, not routine, tie changes (
C) are less frequent, and dressings (
D) should be pre-cut and moisture-resistant.

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