NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

The nurse who is performing venipuncture, Guthrie test, on a newborn to assess for PKU is said to be doing:


Question 1 of 5

The nurse who is performing venipuncture, Guthrie test, on a newborn to assess for PKU is said to be doing:

Correct Answer: C

Rationale: The Guthrie test is a secondary prevention measure, screening for PKU to enable early intervention.

Extract:


Question 2 of 5

A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?

Correct Answer: D

Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.

Question 3 of 5

A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?

Correct Answer: B

Rationale: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.

Question 4 of 5

A 15-year-old client has just been diagnosed as having infectious mononucleosis. He asks how he contracted the disease. Which action reported in his history is most likely related to developing infectious mononucleosis?

Correct Answer: D

Rationale: Infectious mononucleosis is spread via saliva; sharing water bottles is a likely transmission route, unlike hats, nail injuries, or shellfish.

Question 5 of 5

The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:

Correct Answer: B

Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.

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