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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

When a client becomes angry and shouts at the nurse because of a dislike for food that was served, which response by the nurse is most appropriate?

Correct Answer: B

Rationale: Listening attentively allows the client to vent frustrations, de-escalates the situation, and fosters therapeutic communication.

Question 2 of 5

The nurse is teaching a client about self-administration of insulin. Which site is most appropriate for insulin injection?

Correct Answer: D

Rationale: The abdomen has consistent subcutaneous tissue and rapid absorption, making it ideal for insulin injections.

Question 3 of 5

What are the priorities when planning the care of a 75-year-old hospitalized client who develops pneumonia? Select all that apply.

Correct Answer: B,E,F

Rationale: Maintaining oxygenation addresses hypoxia, a critical issue in pneumonia. Administering antibiotics promptly and obtaining blood cultures ensure timely treatment and accurate diagnosis.

Question 4 of 5

The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?

Correct Answer: A

Rationale: Muscle weakness is a common sign of hypokalemia due to impaired muscle function.

Question 5 of 5

Which instruction regarding rescue breathing is important to include in the parent-teaching plan when a newborn is at risk for sudden infant death syndrome (SIDS)?

Correct Answer: B

Rationale: For infant rescue breathing, covering the nose and mouth and blowing just enough air to make the chest rise ensures effective ventilation without overinflation.

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