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NCLEX PN Practice Questions Questions

Extract:


Question 1 of 5

Which measures will help prevent falls in the elderly clients of a long-term care facility? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Exercise, lighting, handrails, and rounds reduce fall risk. Smooth-soled shoes increase slipping risk.

Question 2 of 5

The nurse assists with data collection during a routine prenatal visit for a client at 36 weeks gestation. Which statement by the client is most concerning to the nurse?

Correct Answer: B

Rationale: Decreased fetal movement may indicate fetal distress and requires immediate evaluation.

Question 3 of 5

Which of the following symptoms is associated with exacerbation of multiple sclerosis?

Correct Answer: C

Rationale: Diplopia (double vision) is a common symptom during multiple sclerosis exacerbations, resulting from demyelination affecting the optic nerves or brainstem.

Question 4 of 5

The client who is receiving enteral nutrition through a gastrostomy tube has had 4 diarrhea stools in the past 24 hours. The nurse should

Correct Answer: A

Rationale: Review the medications the client is receiving. Medications like antibiotics can cause diarrhea, requiring evaluation.

Extract:

Intake and output record

Emesis 120 mL
Wet diaper 1 50 g
Wet diaper 2 52 g
Wet diaper 3 46 g

*Weight of a dry diaper = 30 g
Intake and output record


Question 5 of 5

The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's output?

Correct Answer: 208

Rationale: Emesis (120 mL) plus diaper output (50-30=20 mL, 52-30=22 mL, 46-30=16 mL) totals 120+20+22+16=208 mL.

Similar Questions

The nurse is caring for a 72-year-old client 1 day postoperative colectomy. The nurse finds increased work of breathing, diminished breath sounds at the bases with fine inspiratory crackles, respirations 12/min and shallow, and pulse oximetry 96% on 2 L oxygen. There is no jugular venous distension or peripheral edema. Pain is regulated with client-controlled morphine. Which prescription does the nurse anticipate?
Which of the following is not considered one of the five rights of medication administration?
An adult is admitted with a possible detached retina. Which findings would the nurse expect during the admission assessment?
The nurse is providing instructions to a new mother on the proper techniques for breast feeding her infant. Which statement by the mother indicates the need for additional instruction?
Which tasks are appropriate for the nurse in a long-term care unit to delegate to unlicensed assistive personnel? Select all that apply.

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