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

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

ATI NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The client diagnosed with atherosclerosis has coronary artery disease. The client experiences sudden chest pain when walking to the nurse's station. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Having the client sit reduces cardiac demand, the first step in suspected angina, per AHA guidelines.

Question 2 of 5

Which laboratory result warrants immediate intervention by the nurse for the female client diagnosed with systemic lupus erythematosus (SLE)?

Correct Answer: D

Rationale: Elevated WBC (15,000) suggests infection or flare in SLE, requiring immediate intervention due to immunosuppression.

Question 3 of 5

The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?

Correct Answer: C

Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.

Question 4 of 5

Which information should the nurse discuss with the client to prevent an acute exacerbation of diverticulosis?

Correct Answer: A

Rationale: High fiber prevents diverticulosis exacerbations by promoting regular bowel movements, per AGA guidelines.

Question 5 of 5

Which assessment data would make the nurse suspect the client has cancer of the bladder?

Correct Answer: A

Rationale: Gross painless hematuria is the hallmark symptom of bladder cancer, per AUA guidelines.

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