NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Extract:


Question 1 of 5

The nurse is providing home care to an elderly woman who had a cerebrovascular accident several weeks ago. All of the following need to be done. Which should the nurse plan to do first?

Correct Answer: A

Rationale: Auscultating lung fields assesses respiratory status, a priority post-CVA to detect complications like pneumonia or atelectasis. Hygienic care, ambulation, and ROM are secondary.

Question 2 of 5

The nurse is collecting data from a client with suspected panic disorder. Which of the following findings would be consistent with the condition?

Correct Answer: A,B,D,E

Rationale: Panic disorder is characterized by sudden, intense fear accompanied by physical symptoms such as sweating (
A), dizziness (
B), heart palpitations (
D), and shortness of breath (E). Compulsions (
C) are associated with obsessive-compulsive disorder, not panic disorder.

Question 3 of 5

The nurse administers cimetidine (Tagamet) to a 79 year-old male with a gastric ulcer. Which parameter may be affected by this drug, and should be closely monitored by the nurse?

Correct Answer: C

Rationale: The elderly are at risk for developing confusion when taking cimetidine, a drug that interacts with many other medications.

Question 4 of 5

An alert adult is being admitted for elective surgery. Which comment made by the client indicates a need for more instruction regarding advance directives?

Correct Answer: B

Rationale: Advance directives allow clients to specify care preferences, not relinquish decision-making entirely. This comment suggests a misunderstanding that requires further education.

Question 5 of 5

The nurse is observing a nursing assistant move a client from bed to chair. Which action by the nursing assistant indicates a lack of understanding about transfer techniques?

Correct Answer: A

Rationale: Bending from the waist risks back injury, indicating improper technique. Wide stance, whole-body turning, and seeking help are correct.

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