NCLEX Questions, NCLEX Trainer Test 1 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 1 Questions

Extract:


Question 1 of 5

Which of the following snacks would be suitable for a child with gluten-induced enteropathy?

Correct Answer: B

Rationale: Buttered popcorn is gluten-free, making it suitable for a child with celiac disease (gluten-induced enteropathy). The other options contain gluten.

Question 2 of 5

Which action is most likely to ensure the safety of the nurse while making a home visit?

Correct Answer: C

Rationale: Remain alert at all times and leave if cues suggest the home is not safe. No person or equipment can guarantee nurses' safety, although the risk of violence can be minimized. Before making initial visits, review referral information carefully and have a plan to communicate with agency staff. Schedule appointments with clients. When driving into an area for the first time, note potential hazards. Observe surroundings when parking, walking to the client's door, making the visit, walking back to the car, and driving away. LISTEN to clients. If they tell you to leave, do so.

Question 3 of 5

The nurse is caring for a client with a pressure ulcer on the heel that is covered with black hard tissue. Which would be an appropriate goal in planning care for this client?

Correct Answer: D

Rationale: Keep the tissue intact. Dry, intact eschar requires no intervention unless signs of infection appear.

Question 4 of 5

The charge nurse is planning assignments on a medical unit. The client with should be assigned to the unlicensed assistive personnel (UAP).

Correct Answer: B

Rationale: The UAP can be assigned routine tasks which have predictable outcomes, such as administering enemas.

Extract:

A client with symptoms supportive of a diagnosis of Guillain-Barré syndrome.


Question 5 of 5

The nurse knows that which of the following symptoms would be supportive of a diagnosis of Guillain-Barré syndrome?

Correct Answer: B

Rationale: Strategy: All parts of the answer choice must be correct in order for the answer to be correct. (1) relates to a CVA (2) correct-classic symptoms include respiratory failure and flaccidity due to paralysis of the muscles and urinary retention due to loss of sensation (3) relates to pulmonary edema (4) relates to peripheral nerve problems

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