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

Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The nurse shows an understanding of the psychological needs of a client in isolation when he:

Correct Answer: C

Rationale: Allowing phone calls meets the psychological need for social connection in isolation. Reading material is helpful but less critical, alternating staff may disrupt continuity, and limiting PPE compromises safety.

Question 2 of 5

The nurse is screening pediatric clients for developmental dysplasia of the hip (DDH). Which of the following findings would be consistent with DDH in a 3-week-old client?

Correct Answer: C

Rationale: Extra gluteal folds (
C) are a sign of DDH. The affected leg appears shorter, not longer (
A). Narrowing of the perineum (
B) and pelvic tilt (
D) are not typical.

Question 3 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.

Question 4 of 5

A nurse is observing a nursing student reinforce teaching to a client on how to take sucralfate. Which statement made by the student would require intervention by the nurse?

Correct Answer: B

Rationale: Sucralfate (
B) should not be taken with other stomach medications, as it forms a protective barrier, reducing their absorption. Timing (A,
C) and constipation (
D) are correct.

Question 5 of 5

The client is admitted to the unit with a potassium level of $2.4 \mathrm{meq} / \mathrm{L}$. The client with a potassium level of $2.4 \mathrm{meq} / \mathrm{L}$ would exhibit symptoms of:

Correct Answer: B

Rationale: Hypokalemia (low potassium, 2.4 meq/L) causes symptoms like U waves on ECG, muscle weakness, and cramps. Peaked T waves occur in hyperkalemia. Muscle rigidity is not typical, and rapid respirations are more associated with acid-base imbalances.

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