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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Test Questions

Extract:


Question 1 of 5

The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.

Correct Answer: C,D,E

Rationale: Orthostatic pulse change (
C) indicates cardiovascular instability, increasing fall risk. Osteoarthritis of knees (
D) impairs mobility and stability. Carbidopa/levodopa (E) for Parkinson’s can cause orthostatic hypotension or dyskinesia, heightening fall risk. Age 50 (
A) is not a significant risk factor alone, ovarian cancer (
B) is unrelated to falls, and cane use (F) reduces risk if used correctly.

Question 2 of 5

The hospice nurse is providing end-of-life care to a client who is experiencing anorexia and cachexia. Which interventions are appropriate? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Allowing food refusal (
A) respects autonomy, assessing pain/nausea (
B) addresses barriers to eating, shared mealtimes (
D) provide comfort, and oral care (E) improves appetite. Meal planning (
C) may overwhelm a cachectic client.

Question 3 of 5

When planning care for a woman who is admitted in labor, it is most important for the nurse to obtain which of the following information about the client?

Correct Answer: B

Rationale: Contraction frequency and duration indicate labor progress and urgency, guiding immediate care. Age, due date, membrane status, and support persons are secondary.

Question 4 of 5

The nurse is discussing dementia with the families of older adults. All of the following behaviors are reported. Which behavior is most suggestive of dementia?

Correct Answer: B

Rationale: Getting lost in a familiar area indicates significant spatial disorientation, a hallmark of dementia. Forgetting details, misplacing items, or color oversight are less specific.

Question 5 of 5

Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy?

Correct Answer: B

Rationale: Lugol's solution (iodine) should be taken with juice to mask its taste and reduce gastric irritation. Taking it at bedtime , reporting appetite changes , or avoiding sunshine are not specific to this medication.

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