NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 6 Questions

Extract:

An adult woman is admitted to an acute locked psychiatric unit one month prior to an election.


Question 1 of 5

Which of the following responses by the nurse is BEST?

Correct Answer: B

Rationale: Strategy: Determine the outcome of each answer choice. (1) psychiatric patients do not forfeit their constitutional rights (2) correct-patient can vote by absentee ballot (3) can vote by absentee ballot (4) not the nurse's responsibility

Extract:


Question 2 of 5

After receiving an annual influenza immunization, a client develops symptoms suggestive of Guillain-Barré syndrome. Which symptom is associated with Guillain-Barré syndrome?

Correct Answer: A

Rationale: Guillain-Barré syndrome causes paresthesia and weakness in the lower extremities , progressing upward. Reflexes are hypoactive (B is incorrect). Emotional lability and tremors are not typical.

Extract:

A client chief complaint in a nursing health history.


Question 3 of 5

Which of the following is an example of a properly recorded client chief complaint in a nursing health history?

Correct Answer: C

Rationale: Strategy: Think about each answer choice. (1) incorrectly stated (2) objective finding (3) correct-chief complaint should be recorded using the client's own words (4) objective finding

Extract:

A student nurse obtaining an infant's vital signs.


Question 4 of 5

Which of the following actions should the student nurse complete FIRST?

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) inappropriate to use probe to take axillary temperature (2) should count for a full minute (3) correct-respirations should be counted for one full minute prior to arousing the infant with a temperature probe or stethoscope (4) after infant is stimulated, crying may interfere with accurate evaluation of respirations

Extract:


Question 5 of 5

If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?

Correct Answer: C

Rationale: If a central venous catheter is accidentally removed, pressure should be applied to the vein entry site to prevent bleeding and complications.

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