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

The nurse measures the head and chest circumferences of a 20 month-old infant. After comparing the measurements, the nurse finds that they are approximately the same. What action should the nurse take?

Correct Answer: D

Rationale: Record these normal findings. Head and chest circumferences are typically equal by 1 to 2 years of age.

Question 3 of 5

To maintain Bryant's traction, the nurse must make certain that the child's:

Correct Answer: B

Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to align the femur properly and reduce pressure on the pelvis.

Question 4 of 5

The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

Correct Answer: C

Rationale: The client should leave the medication in the brown bottle because light deteriorates the medication. The supply should be replenished every six months, so answer A is incorrect. One tablet should be taken every five minutes times three, so answer B is incorrect. If the pain does not subside, the client should report to the emergency room. The medication should be taken sublingually and should not be crushed, so answer D is incorrect.

Question 5 of 5

An adolescent client has been hospitalized for 2 months for an eating disorder. She asks the nurse what to tell her classmates about her long absence. The nurse can best help the client by:

Correct Answer: C

Rationale: Role-playing helps the client prepare for social interactions, building confidence in handling questions about her absence.

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