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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The physician has ordered crutches and specified that the client use a four-point gait. Which action by the client indicates an understanding of the four-point gait?

Correct Answer: D

Rationale: Four-point gait alternates each crutch and foot (left foot, right crutch, right foot, left crutch), providing maximum stability.

Extract:

Illusion:


Question 2 of 5

Illusion:

Correct Answer: A

Rationale: An illusion is a misperception of a real stimulus, unlike a hallucination.

Extract:


Question 3 of 5

The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?

Correct Answer: B

Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.

Question 4 of 5

Which of the following might be an appropriate nursing diagnosis for an epileptic client?

Correct Answer: B

Rationale: Epilepsy increases the risk of injury due to seizures, which can cause falls or trauma. The other diagnoses are not directly related to epilepsy. Reduction of Risk Potential

Question 5 of 5

A nurse assessing the newborn of a mother with diabetes understands that hypoglycemia is related to what?

Correct Answer: A

Rationale: Disruption of fetal glucose supply. After delivery, the high glucose levels which crossed the placenta to the fetus are suddenly stopped. The newborn continues to secrete insulin in anticipation of glucose. When oral feedings begin, the newborn will adjust insulin production within a day or two.

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