NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease?

Correct Answer: B,C,E

Rationale: Pneumococcal vaccine (
B), reporting increased sputum (
C), and incentive spirometry (E) manage COPD. A high-calorie diet, not low-calorie (
A), is needed. Iron (
D) is only indicated for confirmed anemia.

Question 2 of 5

While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action?

Correct Answer: B

Rationale: Massage the fundus. The nurse's first action should be to massage the fundus until it is firm, as uterine atony is the primary cause of bleeding in the first hour after delivery.

Question 3 of 5

The nurse is observing a nursing assistant move a client from bed to chair. Which action by the nursing assistant indicates a lack of understanding about transfer techniques?

Correct Answer: A

Rationale: Bending from the waist risks back injury, indicating improper technique. Wide stance, whole-body turning, and seeking help are correct.

Question 4 of 5

A client is admitted for hemodialysis. Which abnormal lab value would the nurse anticipate not being improved by hemodialysis?

Correct Answer: A

Rationale: Low hemoglobin. Hemodialysis corrects electrolyte imbalances but does not improve anemia.

Question 5 of 5

A mother calls the pediatrician's office stating that her 15-month-old son received an MMR vaccination yesterday. Today, the site of the injection is red, warm, and puffy. What is the best action for the nurse to take?

Correct Answer: D

Rationale: Mild redness, warmth, and swelling at the MMR injection site are expected reactions, resolving without intervention.

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