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

Questions 163

NCLEX-PN

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Extract:


Question 1 of 5

When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?

Correct Answer: A

Rationale: It has no clear etiology. Enuresis has multiple contributing factors, but no single definitive cause has been established.

Question 2 of 5

The doctor has ordered the insertion of an NG tube to determine the extent of gastric bleeding in a client with a gastric ulcer. To facilitate the insertion of the NG tube, the nurse should:

Correct Answer: C

Rationale: Asking the client to swallow helps guide the NG tube into the esophagus and stomach, facilitating insertion.

Question 3 of 5

An adult client in an acute care setting asks the nurse to show him his hospital records. The nurse's response should reflect which understanding?

Correct Answer: C

Rationale: HIPAA grants clients the right to access their medical records and receive explanations, ensuring transparency. Court orders, physician approval, or committees are not required.

Question 4 of 5

The practical nurse is assisting the registered nurse during admission of a client with heart failure-related fluid overload. Which action should be completed first?

Correct Answer: B

Rationale: Assessing breath sounds is the first step to evaluate the extent of fluid overload and guide interventions in heart failure. Oxygen , monitoring , and IV insertion follow based on findings.

Extract:

Laboratory reference ranges
Hemoglobin
Male: 14.0–18.0 g/dL
(140–180 g/L)

Female: 12.0–16.0 g/dL
(120–160 g/L)
WBC
5000–10,000/mm³
(5–10 × 10⁹/L)


Question 5 of 5

The nurse is collecting data from a client with acute diverticulitis. Which of the following findings would be essential to follow up?

Correct Answer: A

Rationale: Pain progressing to the left upper quadrant in diverticulitis is concerning for complications like perforation or abscess, requiring follow-up. Mild anemia and flexed positioning are common, and a moderately elevated WBC is expected in acute inflammation.

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