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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is reinforcing home care instructions for the parents of a child diagnosed with rotavirus infection. Which of the following statements by the parents indicate that the teaching has been effective? Select all that apply.

Correct Answer: A,B,E

Rationale: Handwashing (
A), monitoring dehydration (
B), and recognizing transmission routes (E) are correct. Waiting to breastfeed (
C) delays nutrition, and alcohol wipes (
D) irritate skin, indicating ineffective teaching.

Question 2 of 5

Prior to discharge of a child with a ventriculoperitoneal (VP) shunt, the nurse reinforces teaching to the caregiver about when to contact the health care provider. The caregiver shows understanding of the instructions by contacting the health care provider about which symptom?

Correct Answer: C

Rationale: Persistent vomiting (
C) suggests shunt malfunction or increased intracranial pressure, requiring immediate reporting. Normal temperature (
A), memory lapses (
B), and palpable shunt (
D) are not concerning.

Question 3 of 5

When planning care for a woman who is admitted in labor, it is most important for the nurse to obtain which of the following information about the client?

Correct Answer: B

Rationale: Contraction frequency and duration indicate labor progress and urgency, guiding immediate care. Age, due date, membrane status, and support persons are secondary.

Question 4 of 5

A client is being discharged after receiving an implantable cardioverter defibrillator. Which statement by the client indicates that teaching has been effective?

Correct Answer: B

Rationale: Avoiding hair-fixing (
B) prevents arm movement that could dislodge leads, showing effective teaching. Device firing (
A) can be uncomfortable, driving (
C) is restricted temporarily, and air travel (
D) is generally safe with precautions.

Question 5 of 5

The nurse has reinforced teaching about formula preparation with the parent of a newborn. Which of the following statements by the parent would indicate a correct understanding of the teaching? Select all that apply.

Correct Answer: A,B,D

Rationale: Microwaving (
A) can cause uneven heating, risking burns, so it’s avoided. Washing the can top (
B) prevents contamination. Refrigerated formula must be discarded after 24 hours (
D) to prevent bacterial growth. Diluting less (
C) alters nutrition, and bottled water (E) may need boiling depending on safety, indicating incorrect understanding.

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