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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is working with a person who was just diagnosed with diabetes mellitus Type 2. What should the nurse teach the client first?

Correct Answer: B

Rationale: Dietary management is foundational for Type 2 diabetes control, often sufficient initially. Insulin may not be needed, and symptoms/complications are secondary.

Extract:

A 78-year-old client is admitted for open reduction of a wrist fracture. That night she is found wandering in the hallway near the fire alarm. When the nurse calls the client's name, the client says, 'If you come any closer to me I'll pull this fire alarm. You're a drug addict. I saw you taking drugs out of the cabinet.'


Question 2 of 5

The best response by the nurse would be:

Correct Answer: A

Rationale: This response addresses safety calmly without escalating the situation.

Extract:


Question 3 of 5

The nurse is caring for a client with a nasogastric tube in place. Assessment of the aspirate reveals a pH of 2.0. Which is the appropriate action?

Correct Answer: A

Rationale: This finding is within normal range for gastric aspirate of 0-4. Answers B, C, and D would not be appropriate or necessary due to the normal reading, so they're incorrect.

Question 4 of 5

The client is receiving furosemide daily. Which statement by the client indicates to the nurse that the client understands the dietary needs related to this medication?

Correct Answer: D

Rationale: Furosemide causes potassium loss; watermelon is high in potassium, helping to replace it, indicating dietary understanding. The other foods are not notably potassium-rich.

Question 5 of 5

When the nurse asks a client to follow a moving finger, the nurse is assessing which cranial nerve?

Correct Answer: C

Rationale: Cranial nerve IV (trochlear) controls the superior oblique eye muscle, responsible for downward and inward eye movement, tested by following a moving finger.

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