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

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is talking with the parent of a 22-month-old client. The parent states, 'I am worried about my child's thumb-sucking and its effects on tooth alignment.' Which of the following responses would be appropriate for the nurse to make? Select all that apply.

Correct Answer: B, C, E

Rationale: Offering a security item (
B), positive reinforcement (
C), and noting malocclusion risk after permanent teeth erupt (E) are appropriate. Thumb-sucking has minimal effect before permanent teeth (
A), and braces after 12 months (
D) is exaggerated.

Question 2 of 5

A nurse is reinforcing fall-prevention teaching to the spouse of a 78-year-old client who recently experienced a stroke. What suggestion by the nurse is most effective in preventing falls?

Correct Answer: C

Rationale: Removing rugs and installing grab bars (
C) directly addresses environmental hazards, the most effective fall prevention strategy. Rising slowly (
A), using a walker (
B), or hiring an aide (
D) are helpful but less comprehensive.

Question 3 of 5

The nurse enters an infant's room and observes that the infant is responsive but is choking and turning blue. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Back slaps and chest thrusts (
C) are the appropriate intervention for a choking infant. CPR (
A) is for cardiac arrest, abdominal thrusts (
B) are for older children, and blind sweeps (
D) are dangerous.

Question 4 of 5

The nurse is caring for a client receiving chemotherapy. The client is prescribed filgrastim to improve the function of the immune system. Which finding does the nurse anticipate in response to the medication?

Correct Answer: C

Rationale: Filgrastim stimulates neutrophil production, so an increase in neutrophil count (
C) is expected. It does not affect uric acid (
A), hemoglobin (
B), or platelets (
D).

Question 5 of 5

The spouse of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which of the following actions by the nurse should be a priority?

Correct Answer: A

Rationale: Assisting caregivers to locate and join support groups is most helpful. Families share feelings and learn about services such as respite care. Health education is also available through local and national Alzheimer's chapters.

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