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| Vendor: | NCLEX |
|---|---|
| Exam Code: | NCLEX-PN |
| Exam Name: | National Council Licensure Examination(NCLEX-PN) |
| Exam Questions: | 725 |
| Last Updated: | February 21, 2026 |
| Related Certifications: | NCLEX Certifications |
| Exam Tags: | Entry Level Licensed Practical/Vocational Nurses |
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Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include:
In addition to the rubber tips on the ends of the crutches, the client needs to know the appropriate gait. Arm strength exercises are important, and it is critical that the client be fitted properly for the crutches.BasicCare and Comfort
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production.
Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the
effectiveness of EPO. Choice 2 is not necessary for RBC production and can increase uremia. Choices 3 and 4
are not necessary for RBC production.Physiological Adaptation
A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhe
a. The nurse should suspect this client has:
GVHD occurs when white blood cells in donor blood attack the tissues of an immunocompromised recipient. This process can occur within a month of the transfusion. Choices 1 and 4 are possible, but the nurse must remember that immunocompromised transfusion recipients are at risk for GVHD.Pharmacological Therapies
A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems. Examples of activities at this level are carrying out direct nursing actions (for example, providing wound care, giving medications, exercising arms and legs), assessing children for normal growth and development, and encouraging regular medical and dental screenings and care. Primary preventive care is directed toward health promotion and specific protections against illness. Activities at this level might focus on individuals or groups. Examples of primary-level activities are immunizations, family-planning services, teaching breast self-examination, poison-control information, and accident-prevention education. Tertiary preventive care begins after an illness is diagnosed and treated and is aimed at helping rehabilitate clients and restore them to their maximum level of functioning.Health Promotion and Maintenance
A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements. Which tests should the nurse expect the client to have first?
The initial tests to determine the basis for her symptoms (considering her fad dieting) should be a complete blood count, urinalysis, blood sugar, and other tests. The decision about further testing is then made based on these results, her history, and other factors.Physiological Adaptation
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