NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

Correct Answer: C

Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation

Question 2 of 5

A 57-year-old woman is recently widowed. She states, 'I will never be able to learn how to manage the finances. My husband did all of that.' Select the nurse's response that could help raise the client's self-esteem.

Correct Answer: C

Rationale: Affirming the client's strength and ability to learn builds self-esteem and encourages confidence. The other responses are either critical or directive, potentially lowering self-esteem. Psychosocial Integrity

Extract:

While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'


Question 3 of 5

When the nurse returns the call, the first question she will ask the patient would be?

Correct Answer: B

Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.

Extract:


Question 4 of 5

Three days after a cast is applied to a fracture of the right lower leg the client begins to complain of pain beneath the cast. The nurse should give priority to:

Correct Answer: D

Rationale: Pain beneath a cast may indicate complications like compartment syndrome, requiring immediate physician notification. Elevation or medication may help but are secondary. Pain is not normal .

Question 5 of 5

The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).

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