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Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

Which tasks are appropriate for the nurse in a long-term care unit to delegate to unlicensed assistive personnel? Select all that apply.

Correct Answer: C,E

Rationale: Collecting vital signs and recording intake/output are within the scope of unlicensed assistive personnel. Other tasks require nursing judgment or are outside their scope.

Question 2 of 5

The nurse is preparing to administer sumatriptan to a client with a migraine headache. Which of the following findings would require follow-up prior to administering the medication?

Correct Answer: B

Rationale: Sumatriptan is contraindicated in uncontrolled hypertension due to the risk of cardiovascular events.

Question 3 of 5

An adult is admitted with advanced cancer of the GI tract. What question must be included in the admission assessment?

Correct Answer: B

Rationale: Advanced cancer requires discussion of end-of-life preferences. Asking about advance directives ensures the client's wishes are documented, taking priority over dietary preferences, specific CPR desires, or illness understanding.

Question 4 of 5

The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: A

Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.

Question 5 of 5

The nurse is talking with a client whose spouse recently attempted suicide. The client states, 'If I had not intervened, my spouse would have died. I cannot believe this is happening.' Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: B

Rationale: Acknowledging the client's feelings and encouraging expression provides emotional support.

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