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

Questions 164

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Extract:


Question 1 of 5

The nurse is to administer a tuberculin skin test. What is the correct procedure?

Correct Answer: C

Rationale: Tuberculin skin tests are given intradermally at a 10-degree angle on the volar forearm to create a wheal, ensuring accurate reading.

Question 2 of 5

The nurse receives the handoff of care report on four clients. Which client should the nurse see first?

Correct Answer: D

Rationale: Restlessness in a pneumonia client with low SpO2 (
D) suggests worsening hypoxia, requiring immediate assessment. Severe pain (
A) is urgent but stable. Pleural effusion (
B) and fever (
C) are less critical.

Question 3 of 5

The nurse recognizes that it is acceptable for which pair of clients to be assigned to share a semi-private room?

Correct Answer: D

Rationale: Clients with gastroenteritis and chemotherapy-induced diarrhea (
D) have similar non-airborne conditions, making them suitable roommates. Pneumonia (
B) and fever of unknown origin (
C) pose infection risks. Anemia and anorexia (
A) are unrelated but not optimal.

Question 4 of 5

Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?

Correct Answer: C

Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.

Question 5 of 5

The nurse is reinforcing skin care guidelines for a client who is receiving external radiation therapy. Which of the following statements by the client would indicate a correct understanding of the teaching?

Correct Answer: C,D,E

Rationale: Sun protection (
C), gentle washing (
D), and loose clothing (E) are correct for radiation therapy skin care. Ice packs (
A) can damage skin, and baby oil (
B) may irritate or trap radiation.

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