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NCLEX-PN Exam Questions - Part 15

Jenny Clarke

Wed, 26 Mar 2025

1. Assessment of the client with an arteriovenous fistula for hemodialysis should include:

A) inspection for visible pulsation.
B) palpation of thrill.
C) percussion for dullness.
D) auscultation of blood pressure.



2. A client with stress incontinence should be advised:

A) to purchase absorbent undergarments.
B) that Kegel exercises might help.
C) that effective surgical treatments are nonexistent.
D) that behavioral therapy is ineffective.



3. An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

A) insertion of a Foley catheter.
B) in and out catheter specimen for urinalysis.
C) a voided urine specimen for urinalysis.
D) a urologist consult.



4. Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

A) iron, folic acid, and B12.
B) an increase of protein in the diet.
C) vitamins A and C.
D) an increase of calcium in the diet.



5. The kind of man who beats a woman is:

A) from a minority culture in a low-income group.
B) from a majority culture in a middle-income group.
C) one who was never allowed to compete as a child.
D) from any walk of life, race, income group, or profession.



1. Right Answer: B
Explanation: Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.Physiological Adaptation

2. Right Answer: B
Explanation: Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice 1 is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and dietary modifications can also be helpful. Physiological Adaptation

3. Right Answer: D
Explanation: A urologist consult is appropriate for a client with visible blood at the urethral meatus and suspected trauma.Choices 1 and 2 are contraindicated. A urinalysis might be ordered by the physician, but the question does not provide enough information to make Choice 3 the correct answer. Physiological Adaptation

4. Right Answer: A
Explanation: 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

5. Right Answer: D
Explanation: Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination, education, socioeconomic status, or class. Ninety- five percent of domestic abuse cases involve male perpetrators and female victims. Psychosocial Integrity

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