NCLEX PN 2026 COMPLETE 60 Q&A ‚ „ S WITH RATIONALES

NCLEX PN 2026 COMPLETE 60 Q&A’S WITH RATIONALES

The nurse is encouraging an older client who has difficulties with incontinence to participatein
recreational therapy. Which nursing interventions should the nurse consider performing before
assisting the client to go to the recreational therapy session? Select all that apply.
1.
Make sure the client is wearing a clean undergarment.
2.
Hold all fluids for 4 hours before the scheduled activity.
3.
Encourage the client to use the restroom just before the activity.
4.
Explain to the client that others participating also have problems.
5.
Administer the prescribed diuretic, which will not be effective for another hour. - Answer>>> 1, 3
The nurse is reinforcing instructions to the client on how to maintain optimal skin integrity
during external radiation therapy. The nurse determines that there is a need for further teaching
if the client states plans to do which action?
1.
Eat a high-protein diet.
2.
Avoid exposure to sunlight.
3.
Wash the skin with a mild soap using the hand and pat dry.
4.
Keep at least 6 feet away from pregnant women especially in the first 3 months. - Answer>>> 4
The nurse has reinforced instructions about measuring blood glucose levels to a client newly
diagnosed with diabetes mellitus. The nurse determines that the client understands the
procedure when making which most accurate statement?
1.
"I should check my blood glucose level once a day."
2.
"I should check my blood glucose level 2 hours after each meal."
3.
"I should check my blood glucose level before eating a big meal."
4.
"I should check my blood glucose level before eating each meal regardless of how much I eat." -
Answer>>> 4
A client is receiving anticonvulsant therapy with phenytoin. The nurse plans to monitor the
results of which laboratory tests closely? Select all that apply.
1.
Urinalysis
2.
Serum sodium
3.
Serum calcium
4.
Alkaline phosphatase
5.
Complete blood cell count - Answer>>> 1, 3, 4, 5
The nurse documents that the client has a stage 2 pressure injury on the decubitus area.
Which describes a stage 2 pressure injury?
1.
The area has a deep crater-like appearance.
2.
There is tissue necrosis with damage to the muscle.
3.
The ulcer is superficial and characterizes an abrasion.
4.
The area is red and does not blanch with external pressure. - Answer>>> 3
The nurse admitting a client to the hospital is reviewing the client's history and medications
taken at home. Which condition in the client's history is being treated with tamoxifen citrate?
1.
Diabetes mellitus
2.
Positive tuberculin test
3.
Metastatic breast cancer
4.
History of cholecystectomy - Answer>>> 3 

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