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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:

Correct Answer: B

Rationale: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.

Question 2 of 5

The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?

Correct Answer: C

Rationale: Resolution of pain (
C) in suspected appendicitis may indicate perforation, a surgical emergency, requiring urgent follow-up. Fatigue (
A), hunger (
B), and dislike of hospitals (
D) are less critical.

Question 3 of 5

The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?

Correct Answer: A

Rationale: Anticholinergics can worsen urinary retention, so 650 mL post-void residual (
A) requires follow-up. Macular degeneration (
B), loose stools (
C), and fatigue (
D) are not contraindications.

Question 4 of 5

A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?

Correct Answer: A

Rationale: Clients with diabetes insipidus have excessive urinary output due to a lack of antidiuretic hormone. Answers B, C, and D are not exhibited with diabetes insipidus, so they are incorrect.

Question 5 of 5

The nurse is caring for a client with a tracheostomy who has an order to begin oral intake. Which of the following actions should the nurse take to decrease the client's risk for aspiration?

Correct Answer: D

Rationale: Thickened liquids (
D) reduce aspiration risk by slowing transit. Inflating the cuff (
A) is not always necessary, straws (
B) may increase risk, and tilting the head back (
C) worsens aspiration.

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