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 comes to the clinic complaining of itching on the left wrist near a wristwatch. The nurse notes an erythematous area along with pruritic vesicles around the left wrist. Which condition should the nurse suspect?

Correct Answer: A

Rationale: Itching, erythema, and vesicles near a wristwatch suggest contact dermatitis, likely from nickel allergy.

Question 2 of 5

Which psychosocial client problem should the nurse write for the client diagnosed with cancer of the lung and metastasis to the brain?

Correct Answer: B

Rationale: Grieving is the priority psychosocial problem in terminal cancer with metastasis, per Kübler-Ross.

Question 3 of 5

The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?

Correct Answer: C

Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.

Question 4 of 5

The client had abdominal surgery and is receiving bag #5 of total parenteral nutrition (TPN) via a subclavian line infusing at 126 mL/hr. The nurse realizes bag #6 is not on the unit and TPN bag #5 has 50 mL left to infuse. Which intervention should the nurse implement?

Correct Answer: D

Rationale: D10W maintains glucose stability until TPN arrives, preventing hypoglycemia in TPN-dependent clients.

Question 5 of 5

When interviewing the client of Hindu heritage, which information should the nurse obtain to plan culturally sensitive care?

Correct Answer: B

Rationale: Ayurveda, common in Hindu culture, may influence health practices (e.g., herbs, diet), guiding culturally sensitive care. Advance directives, interpreters, and allergies are general, not Hindu-specific.

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