NCLEX PN Practice Questions Quizlet

Extract:

Question 1 of 5

While assisting with data collection regarding the neurological system, the nurse asks the client to puff out both cheeks. Which cranial nerve is the nurse assessing?

Correct Answer: B

Rationale: The correct answer is B: Facial. Assessment of cranial nerve VII (facial nerve) involves noting mobility and symmetry as the client performs various facial movements, including puffing out the cheeks. Cranial nerve IX (glossopharyngeal nerve) and cranial nerve X (vagus nerve) are tested together for different functions. The abducens, oculomotor, and trochlear nerves are assessed together for eye movements and pupil reactions, not cheek puffing.

Question 2 of 5

The LPN on shift notices a client coming into the clinic with bruises on his arm. The client seems very afraid and doesn't speak much, which concerns the nurse because these are signs of physical abuse. The nurse should ____.

A. use therapeutic communication to talk to the client and offer support while reporting the findings to the appropriate authorities based on the state requirements and protocols B. report the findings to the appropriate authorities based on the state requirements and protocols C. ignore the bruises, as this is not why the client is being treated and is not appropriate for the nurse to address D. report the suspected abuse to another nurse and collaborate on how to handle it

Correct Answer: B

Rationale: In cases of suspected abuse, healthcare providers have a legal and ethical obligation to report such incidents to the relevant authorities. This not only ensures the safety and well-being of the client but also helps in preventing further harm. Option A is incorrect as attempting to gather evidence of abuse may interfere with the official investigation and is not the nurse's role. Offering support is crucial, but the priority is to report the findings to the appropriate authorities. Option C is incorrect as ignoring signs of abuse goes against the duty of a healthcare provider to protect their clients. Option D is incorrect as reporting suspected abuse to other nurses without involving the appropriate authorities may delay necessary actions and intervention.

Question 3 of 5

When should rehabilitation services begin?

A. when the client enters the health care system. B. after the client requests rehabilitation services. C. after the client's physical condition stabilizes. D. when the client is discharged from the hospital.

Correct Answer: A

Rationale: Rehabilitation services should begin when the client enters the health care system to ensure early intervention and optimal outcomes. Initiating rehabilitation early can prevent complications, maximize recovery potential, and improve overall health outcomes.
Choice B is incorrect because delaying rehabilitation until the client requests it may result in missed opportunities for timely intervention.
Choice C is incorrect as waiting for the client's physical condition to stabilize can lead to unnecessary delays in starting the rehabilitation process, potentially slowing down recovery progress.
Choice D is incorrect because starting rehabilitation only after discharge can hinder the recovery process by missing out on crucial early stages of intervention and support.

Question 4 of 5

Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?

A. exercising vigorously for 20 minutes each night beginning at 9:30 p.m. B. taking a cool shower and drinking a hot cup of tea C. watching TV nightly until midnight D. getting a back rub and drinking a glass of warm milk

Correct Answer: D

Rationale: The correct answer is getting a back rub and drinking a glass of warm milk. These measures are relaxation techniques that can help promote sleep by calming the body and mind. Exercising vigorously right before bedtime, as mentioned in choice A, can increase arousal and make it harder to fall asleep.
Choice B, taking a cool shower and drinking a hot cup of tea, involves temperature changes that might not be conducive to sleep. Watching TV until midnight, as in choice C, exposes the individual to blue light and mental stimulation, both of which can disrupt the natural sleep-wake cycle.

Question 5 of 5

A client with dumping syndrome should..........................while a client with GERD should..........................

A. Sit up 1 hour after meals; lie flat 30 minutes after meals B. Lie down 1 hour after eating; sit up at least 30 minutes after eating C. Sit up after meals; sit up after meals D. Lie down after meals; lie down after meals

Correct Answer: D

Rationale: For a client with dumping syndrome, lying down 1 hour after eating helps reduce symptoms by slowing down the movement of food through the digestive tract, aiding in symptom management. This position assists in symptom management for dumping syndrome. Conversely, for a client with GERD, sitting up at least 30 minutes after eating can help prevent the backflow of stomach acid into the esophagus, reducing reflux symptoms. This upright position is beneficial for managing GERD.
Choice A is incorrect because sitting up is recommended for GERD, not dumping syndrome.
Choice C is incorrect as it suggests sitting up for both conditions, which is not appropriate.
Choice D is incorrect as lying down after meals is not recommended for GERD; it can worsen symptoms by promoting acid reflux.

NCLEX PN Practice Questions Quizlet - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN