NCLEX Questions, NCLEX-PN Practice Questions Free Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Free Questions

Extract:

Which statement is best to document a patient's behavior in an unbiased way?


Question 1 of 5

The patient's hostility created difficulties for the nursing staff.'

Correct Answer: C

Rationale: Nursing documentation must be objective, describing specific actions without subjective judgments.

Extract:

A patient with CAD has a sudden episode of cyanosis & a change in respiration.


Question 2 of 5

The nurse starts O2 administration immediately. In this situation:

Correct Answer: B

Rationale: Cyanosis and respiratory changes justify immediate oxygen administration in CAD patients.

Extract:


Question 3 of 5

The client is receiving furosemide daily. Which statement by the client indicates to the nurse that the client understands the dietary needs related to this medication?

Correct Answer: D

Rationale: Furosemide causes potassium loss; watermelon is high in potassium, helping to replace it, indicating dietary understanding. The other foods are not notably potassium-rich.

Extract:

The patient delivered vaginally in small community.


Question 4 of 5

The nurse is assessing a term neonate about neonate rooting reflex by.

Correct Answer: A

Rationale: Stroking the cheek elicits the rooting reflex, guiding the neonate to feed.

Extract:


Question 5 of 5

The nurse is caring for clients in the GYN clinic. A client at 28-weeks gestation states that she occasionally leaks urine when she coughs or sneezes. Which of the following actions by the nurse is BEST?

Correct Answer: A

Rationale: Urine leakage during coughing or sneezing at 28 weeks gestation suggests stress incontinence, common due to pelvic pressure. Kegel exercises strengthen pelvic floor muscles, improving control. A urine specimen (
B) is unnecessary without infection signs, leakage is not ‘expected’ (
C), and specialist referral (
D) is premature.

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