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

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The spouse of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which of the following actions by the nurse should be a priority?

Correct Answer: A

Rationale: Assisting caregivers to locate and join support groups is most helpful. Families share feelings and learn about services such as respite care. Health education is also available through local and national Alzheimer's chapters.

Question 2 of 5

The nurse is contributing to the plan of care for a client with pertussis. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.

Correct Answer: A, B, E

Rationale: Monitoring respiratory effort (
A), droplet precautions (
B), and frequent fluids (E) manage pertussis symptoms and transmission. Negative pressure rooms (
C) are for airborne diseases, and cough suppressants (
D) may worsen mucus clearance.

Question 3 of 5

During the shift report, the night charge nurse tells the day charge nurse that the night unlicensed assistive personnel (UAP) is totally incompetent. What is the best response for the day charge nurse to give?

Correct Answer: D

Rationale: Suggesting discussion with the nurse manager (
D) addresses the issue professionally. Encouraging training (
A), deflecting responsibility (
B), or defending the UAP (
C) are less appropriate.

Question 4 of 5

The nurse is caring for a client who had a chest tube inserted and attached to portable water seal drainage two days ago. There is no bubbling in the water seal chamber. What should the nurse assess initially?

Correct Answer: C

Rationale: No bubbling may indicate lung reexpansion or system issues; auscultating lungs assesses reexpansion or complications like pneumothorax. Other assessments are secondary.

Question 5 of 5

The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.

Correct Answer: A, B, D

Rationale: Avoiding rubbing (
A), straining (
B), and reporting sudden pain (
D) prevent complications. Flashes (
C) are not expected and require reporting, and eye rest (E) is unnecessary unless specified.

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