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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is teaching a client about digoxin (Lanoxin) therapy. Which statement by the client indicates understanding?

Correct Answer: A

Rationale: Checking the pulse before digoxin helps detect bradycardia, a sign of toxicity.

Question 2 of 5

A client with a history of chronic lymphocytic leukemia is at risk for infection. Which nursing intervention is most appropriate?

Correct Answer: A

Rationale: Frequent handwashing reduces infection risk in immunocompromised clients.

Question 3 of 5

Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?

Correct Answer: A

Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.

Question 4 of 5

A client newly diagnosed with cancer receives external radiation therapy. Which of the nurse's instructions regarding bathing is most appropriate?

Correct Answer: D

Rationale: Using a soft cloth minimizes irritation to the sensitive, irradiated skin, promoting comfort and preventing skin breakdown.

Question 5 of 5

A 17-year-old unmarried postpartum client is being discharged. Which situation suggests the need for a community-based assistance referral after discharge?

Correct Answer: B

Rationale: Living alone as a young, unmarried mother indicates a lack of immediate support, necessitating a referral for community assistance.

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