NCLEX Questions, Best NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 149

NCLEX-PN

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Extract:


Question 1 of 5

The school nurse is reviewing the immunization record of the 8-year-old incoming student. Which finding warrants further follow-up by the nurse?

Correct Answer: B

Rationale: Hepatitis B requires 3 doses for full immunization, so 2 doses warrant follow-up.

Question 2 of 5

The nurse is caring for the adolescent diagnosed with Lyme disease. Which nursing problem should the nurse document in the plan of care?

Correct Answer: D

Rationale: Lyme disease commonly causes joint and muscle pain due to inflammation, making this a priority nursing diagnosis.

Question 3 of 5

Mr. S. is a man who has not spoken for years. He is diagnosed as having paranoid schizophrenia. One day, when Ms. J., another client, was standing facing the elevator, the man approached her from behind and reached for her as if to strangle her. What is the most appropriate action for the nurse to take at this time?

Correct Answer: D

Rationale: Getting his attention and calling for help ensures safety for all involved without escalating the situation through physical intervention.

Question 4 of 5

The nurse is caring for the 4-year-old hospitalized with complications from chicken pox. Which type of precautions should the nurse plan?

Correct Answer: A

Rationale: Chickenpox (varicella) is transmitted via airborne particles and droplets from respiratory secretions, requiring airborne and droplet precautions. A negative-airflow room prevents the spread of infectious particles to other areas.

Question 5 of 5

A 65-year-old client is seen in an urgent care center for a sprained ankle. The client also tells the nurse, 'I don't know what the problem is. I'm tired all the time. I guess it's just a sign I'm getting old.' What is the best response for the nurse to make?

Correct Answer: C

Rationale: Persistent fatigue is not a normal part of aging and may indicate underlying medical issues, warranting a physical exam to identify the cause.

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