NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A client with mania is busy investigating the unit and overseeing the activities of others. She is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

Correct Answer: A

Rationale: High-calorie, portable foods accommodate the client's high energy and distractibility, ensuring adequate nutrition. Other options are less practical or effective.

Question 2 of 5

The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings would be MOST concerning to the nurse?

Correct Answer: D

Rationale: New-onset ventricular arrhythmias are life-threatening in myocardial infarction, indicating myocardial irritability and risk of sudden cardiac death, requiring immediate intervention. Chest pain relieved by rest (
A), mild hypertension (
B), and tachycardia (
C) are less urgent.

Question 3 of 5

Which activity should not be assigned to an unlicensed person?

Correct Answer: D

Rationale: Completing the 24-hour intake and output record involves calculation and analysis, beyond the scope of unlicensed personnel, requiring nursing judgment.

Question 4 of 5

A young woman comes to the physician's office seeking contraceptive advice. The client reports all of the following. Which contraindicates the use of oral contraceptives?

Correct Answer: B

Rationale: Thrombophlebitis is a contraindication for oral contraceptives due to increased clotting risk. Past gonorrhea, family diabetes, or recent bladder infection are not absolute contraindications.

Question 5 of 5

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

Correct Answer: A

Rationale: Steadily increasing vital signs (e.g., heart rate, blood pressure) indicate impending delirium tremens, a severe alcohol withdrawal complication, requiring additional sedation to prevent seizures or cardiovascular collapse. Mild tremors (
B) are expected, decreased respirations (
C) contraindicate sedation, and GI distress (
D) is typical but less urgent.

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