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NCLEX Practice Test PN

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Nclex Practice Test Pn
NCLEX Practice Test PN

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Question 1 of 164

The nurse is screening clients for those at risk for developing a pressure injury. At highest risk for developing a pressure injury is the client

A. who had an open cholecystectomy and has a closed-wound drainage device

B. who has a long leg cast and a decreased serum albumin level

C. with dementia, peripheral artery disease, and constipation

D. with quadriplegia, moist skin, and an elevated temperature

Correct Answer:

Rationale:

Question 2 of 164

The nurse is caring for a client with cirrhosis who has ascites, peripheral edema, shortness of breath, fatigue, and generalized discomfort. Which of the following actions should the nurse take? Select all that apply.

A. Assist the client to ambulate in the hallway every shift

B. Encourage the client to increase sodium intake

C. Maintain the client in semi-Fowler position

D. Provide an alternating air pressure mattress for the client

Correct Answer:

Rationale:

Question 3 of 164

The nurse is screening clients with major depressive disorder for those at risk for suicide. The nurse should recognize the client at highest risk for suicide is the client with

A. substance use disorder who is married and participates in community programs

B. Parkinson disease who is divorced and has recently become unemployed

C. breast cancer who is married and is newly diagnosed with alcohol use disorder

D. type 2 diabetes mellitus who is recently divorced and has 3 children

Correct Answer:

Rationale:

Question 4 of 164

A nurse finds a client unresponsive and is unable to palpate a pulse. Resuscitation is initiated and continued by the rapid response team. The nurse then finds a do not resuscitate (DNR) prescription in the client's chart. What is the appropriate action by the nurse?

A. Complete resuscitation as life support measures have already been started

B. Continue resuscitation until DNR status is verified with health care provider

C. Immediately have the rapid response team stop resuscitation measures

D. Verify with a family member if life-saving measures should be continued

Correct Answer:

Rationale:

Question 5 of 164

The nurse is caring for a 4-year-old who was hospitalized with influenza. Which nursing action would be most effective to maintain psychosocial integrity?

A. Encouraging use of puzzles for play

B. Offering the child stacking blocks for diversion

C. Providing crayons to draw noses on facemasks

D. Suggesting that playmates visit the child

Correct Answer:

Rationale:

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