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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

When a schizophrenic client claims to see demons in the room, how should the nurse document the finding?

Correct Answer: C

Rationale: Quoting the client's exact statement provides objective, accurate documentation of the hallucination.

Question 2 of 5

Laboratory data for an adult client diagnosed with Pneumocystis carinii pneumonia indicate immunosuppression. Which is the most important in determining the client's susceptibility to this infection?

Correct Answer: D

Rationale: Pneumocystis carinii pneumonia is associated with immunosuppression, often linked to HIV, which is commonly transmitted through sexual practices.

Question 3 of 5

Which medication administration technique is best for a 3-month-old infant?

Correct Answer: B

Rationale: A needleless syringe allows precise oral administration, ensuring the infant receives the correct dose without choking or aspiration risks.

Question 4 of 5

Which of the following clients is at the greatest risk of developing maternal and fetal complications during pregnancy? Select all that apply.

Correct Answer: A,D,E

Rationale: Restricting food intake can lead to malnutrition, increasing fetal risks. Advanced maternal age (36) increases complications like gestational diabetes. Refusing prenatal vitamins can cause deficiencies, affecting fetal development.

Question 5 of 5

A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking allopurinol with food reduces gastrointestinal irritation.

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