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

Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The nurse's neighbor calls the nurse and asks for assistance with her child who developed a nosebleed after being hit in the nose by a ball. What should the nurse recommend to the neighbor?

Correct Answer: A

Rationale: Pinching the nose and leaning forward compresses the bleeding site and prevents blood swallowing, effectively managing a nosebleed caused by trauma.

Question 2 of 5

A client was admitted to the psychiatric unit after refusing to get out of bed. In the hospital the client talks to unseen people and voids on the floor. The nurse could best handle the problem of voiding on the floor by

Correct Answer: D

Rationale:
Toileting the client more frequently with supervision. This approach addresses the physical need in a client with altered thought processes.

Question 3 of 5

Which of the following organs is most likely to suffer permanent damage from shock?

Correct Answer: D

Rationale: The kidneys are highly susceptible to permanent damage from shock due to reduced perfusion, leading to acute kidney injury.

Question 4 of 5

An adult is admitted to the long-term care facility. She had a cerebrovascular accident and no longer needs acute care. The client has left side hemiplegia. Because of the type of deficit the client has, the nurse knows that this woman is at increased risk for which of the following?

Correct Answer: C

Rationale: Left hemiplegia from a right brain CVA increases risk for visual-spatial deficits, as the right hemisphere processes spatial awareness, unlike speech (left hemisphere), behavior, or hearing.

Question 5 of 5

The nurse is collecting data from a client with primary adrenal insufficiency (Addison disease). Which of the following findings is consistent with the condition?

Correct Answer: A

Rationale: Bronze skin pigmentation (
A) is a hallmark of Addison disease due to increased ACTH stimulating melanocytes. Increased hair (
B) and supraclavicular fat pad (
D) are associated with Cushing syndrome, while striae (
C) are nonspecific but not typical of Addison disease.

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