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

Questions 176

NCLEX-PN

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Extract:


Question 1 of 5

Which of the following clients does the nurse identify as being at high risk for developing colorectal cancer? Select all that apply.

Correct Answer: A, C, E

Rationale: High red meat/low fiber diet (
A), ulcerative colitis (
C), and family history (E) are established risk factors for colorectal cancer. Obesity (
B) and smoking (
D) have weaker associations.

Extract:

Laboratory reference ranges
Glucose (fasting)
Infant – Within 24 hours after birth
≥40 mg/dL (2.2 mmol/L)


Question 2 of 5

The nurse is caring for assigned newborns. Which of the following newborns should the nurse check first?

Correct Answer: D

Rationale: A glucose level of 38 mg/dL with jitteriness (
D) indicates hypoglycemia, a critical condition requiring immediate intervention. Crackles (
A), asymmetric Moro reflex (
B), and respiratory rate of 52 (
C) are less urgent.

Extract:


Question 3 of 5

The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?

Correct Answer: C

Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.

Question 4 of 5

The nurse is caring for a client with tuberculosis who is on airborne isolation precautions. The nurse can delegate which tasks to experienced unlicensed assistive personnel? Select all that apply.

Correct Answer: C, D

Rationale: Posting signs and stocking equipment (
C) and reminding visitors about precautions (
D) are within UAP scope. Alerting departments (
A), explaining to the client (
B), and educating family (E) require nursing judgment.

Question 5 of 5

The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.

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