NCLEX Questions, ATI NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Extract:


Question 1 of 5

The 85-year-old client diagnosed with severe end-stage chronic obstructive pulmonary disease has a chest x-ray incidentally revealing an eight (8)-cm abdominal aortic aneurysm (AAA). Which intervention should the nurse implement?

Correct Answer: A

Rationale: An 8-cm AAA in an elderly COPD patient has high rupture risk; end-of-life discussions are appropriate given surgical risks.

Question 2 of 5

The nurse is at home preparing for the 7 a.m. to 7 p.m. shift and has the flu with a temperature of 100.4°F. Which action should the nurse take?

Correct Answer: A

Rationale: Flu with fever risks patient safety; notifying the hospital to stay home is the ethical action.

Question 3 of 5

Which client should the nurse consider at risk for developing acute renal failure?

Correct Answer: C

Rationale: Anaphylaxis can cause shock, reducing renal perfusion and risking acute renal failure.

Question 4 of 5

The male client tells the nurse that he has been using acupuncture to control his chronic back pain. Which is the nurse's best response?

Correct Answer: B

Rationale: Asking about pain pre- and post-acupuncture assesses its effectiveness, supporting patient-centered care. Insurance discussion, needle sterilization (done by professionals), or suggesting alternatives is less relevant.

Question 5 of 5

Which assessment data indicate the client has developed a deep vein thrombosis (DVT) in the left leg?

Correct Answer: B

Rationale: Increased calf circumference suggests DVT due to swelling from clot-related obstruction.

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