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NCLEX PN Test Questions Questions

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Question 1 of 5

The nurse observes a client who is walking with a cane. Which observation indicates that the client is walking appropriately?

Correct Answer: C

Rationale: Holding the cane on the unaffected side and moving it with the affected leg provides optimal support and balance, coordinating strength with the weaker side.

Question 2 of 5

A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first

Correct Answer: B

Rationale: The manager is ultimately responsible for delivery of care and yet has given a committee chosen by staff the right to approve or disapprove the change. Planned change involves exploring barriers and restraining forces before implementing change.
To smooth acceptance of the change, restraining factors need to be evaluated.

Question 3 of 5

The nurse reinforces education about safety modifications in the home for the spouse of a client diagnosed with Alzheimer disease. What instructions should the nurse include?

Correct Answer: A,B,C,D

Rationale: Clear pathways (
A), accessible items (
B), locked doors (
C), and bathroom symbols (
D) enhance safety. A dark room (E) may increase confusion or fear.

Question 4 of 5

While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?

Correct Answer: D

Rationale: Irregular hip symmetry. Early assessment of irregular hip symmetry alerts the nurse and the provider to a correctable congenital hip dislocation.

Question 5 of 5

The nurse caring for a client with an ileal conduit observes that the stoma appears bluish gray. What is the nurse's best action?

Correct Answer: D

Rationale: A bluish-gray stoma (
D) indicates ischemia, requiring immediate reporting. Antibiotics (
A) are premature, monitoring (
B) delays care, and resizing the pouch (
C) is irrelevant.

Similar Questions

The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?
A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?
The charge nurse in a long-term care facility is making assignments. When assigning personnel to care for residents, which principle is important?
One month ago, a client was prescribed phenytoin 100 mg orally 3 times daily. The client's current serum phenytoin level is 32 mcg/mL (127 μmol/L). Which action by the health care provider does the nurse anticipate?
During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech. What actions are most important for the nurse to take?

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