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

Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which assessment finding provides the earliest indication that a client is hypoxic?

Correct Answer: B

Rationale: Disorientation is an early sign of hypoxia, as the brain is highly sensitive to oxygen deprivation.

Question 2 of 5

The nurse is teaching a client about managing gastroesophageal reflux disease (GERD). Which instruction is most appropriate?

Correct Answer: C

Rationale: Avoiding food 2–3 hours before bedtime reduces reflux by allowing gastric emptying.

Question 3 of 5

A client newly diagnosed with cancer receives external radiation therapy. Which of the nurse's instructions regarding bathing is most appropriate?

Correct Answer: D

Rationale: Using a soft cloth minimizes irritation to the sensitive, irradiated skin, promoting comfort and preventing skin breakdown.

Question 4 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.

Question 5 of 5

A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?

Correct Answer: A

Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.

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