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

Questions 164

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Question 1 of 5

Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy?

Correct Answer: B

Rationale: Lugol's solution (iodine) should be taken with juice to mask its taste and reduce gastric irritation. Taking it at bedtime , reporting appetite changes , or avoiding sunshine are not specific to this medication.

Question 2 of 5

A client is being discharged after receiving an implantable cardioverter defibrillator. Which statement by the client indicates that teaching has been effective?

Correct Answer: B

Rationale: Avoiding hair-fixing (
B) prevents arm movement that could dislodge leads, showing effective teaching. Device firing (
A) can be uncomfortable, driving (
C) is restricted temporarily, and air travel (
D) is generally safe with precautions.

Question 3 of 5

The nurse is caring for a client with suspected colorectal cancer. Which of the following findings would support a diagnosis of colorectal cancer? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Colorectal cancer often presents with fatigue (
A) due to anemia or systemic effects, blood in the stool (
B) from tumor bleeding, changes in bowel habits (
C) like diarrhea or constipation, and unintentional weight loss (
D) from malignancy-related cachexia. Elevated hemoglobin (E) is unlikely, as anemia is more common due to chronic blood loss.

Question 4 of 5

A client with poorly controlled diabetes mellitus gives birth to a newborn at term gestation. When caring for the 2 hour-old newborn, which clinical finding requires the nurse to intervene?

Correct Answer: C

Rationale: Jitteriness (
C) in a newborn of a diabetic mother suggests hypoglycemia, a common complication due to maternal hyperglycemia causing fetal hyperinsulinism. Immediate intervention (e.g., glucose testing) is needed. Acrocyanosis (
A) is normal, heart rate 165/min while crying (
B) is within range, and respirations of 60/min (
D) are normal for a newborn.

Question 5 of 5

A 1-year-old boy is hospitalized for a fractured femur. There is a PRN order for pain medication. What is the best way to assess the child for pain?

Correct Answer: B

Rationale: A 1-year-old cannot verbalize pain; observing behavior (e.g., crying, guarding) is the most reliable pain assessment method.

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