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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse makes a home visit to a client with Alzheimer disease. While reviewing the client's home care needs, the client's spouse states, 'It's hard to see my spouse worsen each day. I'm not sure I can keep doing this alone anymore.' Which response by the nurse is best?

Correct Answer: B

Rationale: Exploring the spouse's daily challenges encourages open communication and helps identify specific support needs.

Question 2 of 5

The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching?

Correct Answer: A

Rationale:
Torn axillary pads can cause discomfort and injury, indicating a need for replacement and further teaching.

Question 3 of 5

Which of the following drug administrations should be reported as a practice error? Select all that apply.

Correct Answer: A,E

Rationale: Cephalexin in a penicillin-allergic client risks anaphylaxis, and warfarin in pregnancy can cause fetal harm. Pruritus and flushing are expected side effects, and the ventrogluteal site is appropriate.

Question 4 of 5

The nurse is monitoring a client with suspected pulmonary tuberculosis. Which characteristic signs and symptoms does the nurse expect? Select all that apply.

Correct Answer: D,E,F

Rationale: Night sweats, weight loss, and purulent/blood-tinged sputum are hallmark symptoms of pulmonary tuberculosis.

Question 5 of 5

The nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube and a gastric residual volume of 75 mL. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,C,D

Rationale: A residual of 75 mL is typically acceptable to proceed with feeding. High-Fowler position and flushing are standard. Residual is returned, not discarded, and pH >5 is not concerning.

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