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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:

When taking the BP of a patient who has AIDS the nurse must:


Question 1 of 5

Wear clean gloves.

Correct Answer: D

Rationale: Blood and body fluid precautions require that hands be washed before and after patient care to minimize the risk of transmission.

Extract:

A male, Hispanic client with history of excessive 'alcohol-drinking', was admitted with a diagnosis of recurrent pancreatitis. On admission, the client was complaining of unbearable pain.


Question 2 of 5

The nurse

Correct Answer: A

Rationale: Demerol is preferred for pancreatitis pain to avoid sphincter of Oddi spasm associated with morphine.

Extract:


Question 3 of 5

A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?

Correct Answer: B

Rationale: One month post-mastectomy, emotional responses like difficulty coping and frequent crying are normal as the client processes grief and body image changes. Helping family (
A) or returning to work (
D) suggest advanced coping stages premature at this point, and social withdrawal (
C) indicates an abnormal reaction.

Question 4 of 5

The nurse is caring for a client with delirium. Which of the following is most important for the nurse to provide the client?

Correct Answer: A

Rationale: Providing a safe environment is the most important aspect of caring for a client with delirium. Although all other options are logical and appropriate, meeting the client's safety needs takes priority.

Extract:

You were walking in the hallway of the long term facility, you found Jeffrey surrounded by friends and visitors. He was unresponsive, no pulse, and no breathing.


Question 5 of 5

Which one is the most appropriate action taken by the nurse?

Correct Answer: A

Rationale: Initiating CPR is the immediate action for an unresponsive patient with no pulse or breathing.

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