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

Questions 164

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Extract:


Question 1 of 5

The nurse is reinforcing teaching of proper foot care to a client with diabetes mellitus. Which statement by the client indicates the need for further teaching?

Correct Answer: D

Rationale: Sandals (
D) expose feet to injury, increasing infection risk in diabetes. Lanolin (
A), avoiding heating pads (
B), and testing water (
C) are correct to prevent skin breakdown and burns.

Question 2 of 5

A person who has psoriasis is seen in the clinic. The lesions are covered with coal tar. Which instruction should the nurse give the client?

Correct Answer: B

Rationale: Coal tar increases photosensitivity; protecting the area from sunlight for 24 hours prevents burns. Nausea, washing off, or skin darkening are not primary concerns.

Question 3 of 5

The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.

Correct Answer: C,D,E

Rationale: Orthostatic pulse change (
C) indicates cardiovascular instability, increasing fall risk. Osteoarthritis of knees (
D) impairs mobility and stability. Carbidopa/levodopa (E) for Parkinson’s can cause orthostatic hypotension or dyskinesia, heightening fall risk. Age 50 (
A) is not a significant risk factor alone, ovarian cancer (
B) is unrelated to falls, and cane use (F) reduces risk if used correctly.

Question 4 of 5

The nurse observes a client using a walker. Which observation indicates that the client needs more instruction?

Correct Answer: A

Rationale: Using the walker to pull up risks tipping, indicating improper use and a need for further instruction on safe walker technique.

Question 5 of 5

A child with a high level of school absenteeism is diagnosed with separation anxiety disorder. The school nurse should remind the child’s parent to take what action?

Correct Answer: C

Rationale: Gradual exposure to school, starting with partial attendance (
C), helps desensitize the child to separation anxiety. Staying home (
A) reinforces avoidance, schoolwork at home (
B) delays reintegration, and parental presence (
D) hinders independence.

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