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

Questions 157

NCLEX-PN

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Question 1 of 5

The client asks the nurse, 'What are the risk factors for developing multiple sclerosis?' Which statement is a risk factor for multiple sclerosis (MS)?

Correct Answer: A

Rationale: Family history increases MS risk due to genetic predisposition, per NMSS.

Question 2 of 5

The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?

Correct Answer: C

Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.

Question 3 of 5

Which problem is priority for the 24-year-old client diagnosed with endometriosis who is admitted to the gynecological unit?

Correct Answer: B

Rationale: Pain is the priority in endometriosis due to severe dysmenorrhea and pelvic discomfort, per Maslow’s hierarchy, impacting quality of life.

Question 4 of 5

The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?

Correct Answer: A

Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.

Question 5 of 5

According to the nursing process, which interventions should the nurse implement when caring for a client diagnosed with a right-sided cerebrovascular accident (stroke) and who has difficulty swallowing? List the interventions in order of the nursing process.

Order the Items

Source Container

Write the client problem of 'altered tissue perfusion.'
Assess the client's level of consciousness and speech.
Request dietary to send a full liquid tray with Thick-It.
Instruct the UAP to elevate the head of the bed 30 degrees.
Note the amount of food consumed on the dinner tray.

Correct Answer: B,A,C,D,E

Rationale: 1) Assess LOC/speech (assessment); 2) Write problem (diagnosis); 3) Request diet (planning); 4) Instruct HOB elevation (implementation); 5) Note food intake (evaluation).

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