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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?

Correct Answer: A

Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.

Question 2 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 3 of 5

The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?

Correct Answer: D

Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.

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

While visiting a client who takes a prescribed diuretic, how can a home health care nurse best evaluate the drug's effectiveness?

Correct Answer: A

Rationale: Diuretics reduce fluid retention, leading to weight loss. Monitoring weight is the best way to evaluate their effectiveness.

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