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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should the nurse proceed?

Correct Answer: A

Rationale:
To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irrigation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than a wet-to-dry dressing. The nurse always should instill the irrigating solution gently; rapid or forceful instillation can damage tissues.

Question 2 of 5

A mother brings her two-year-old boy to the pediatrician's office. Which of the following symptoms would suggest to the nurse that the child has strabismus?

Correct Answer: C

Rationale: Strabismus is characterized by misaligned eyes, causing the brain to receive two images. Closing one eye to focus (as in choice
C) is a compensatory behavior to avoid double vision.

Choices A and B suggest refractive errors, and choice D indicates cataracts or peripheral vision issues.

Extract:

The nurse is reviewing laboratory results on a client with acute renal failure.


Question 3 of 5

Which one of the following lab values should be reported immediately?

Correct Answer: D

Rationale: A serum potassium of 5.9 mEq/L indicates hyperkalemia, which can cause life-threatening cardiac arrhythmias and requires immediate reporting.

Extract:

Rosemarie is 24 years old, G1P0, admitted with a diagnosis of Multiple Sclerosis.


Question 4 of 5

The nurse observes indications of positive response from treatments and signs that the patient is recovering from the disease by which of the following assessment data?

Correct Answer: D

Rationale: Multiple Sclerosis temporarily affects both sensory and motor functions. Being able to walk with a stable gait is a sign that the motor function is returning to normal.

Extract:

A nurse is going to give health teachings to a group of 11 to 15 years old clients with Diabetes Mellitus.


Question 5 of 5

Considering the group's developmental needs, the type of learning activity planned by the nurse would be:

Correct Answer: D

Rationale: Peer-support activities align with adolescents' developmental need for social connection and shared experiences.

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