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

Questions 157

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Extract:


Question 1 of 5

The client diagnosed with cancer of the larynx has had a partial laryngectomy. Which client problem has the highest priority?

Correct Answer: C

Rationale: Risk for aspiration is the priority post-laryngectomy due to airway alteration, a life-threatening concern.

Question 2 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 3 of 5

The client in the long-term care facility has severe osteoarthritis. Which nursing task should the nurse delegate to the unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: Assisting to the shower is within UAP scope, supporting mobility in osteoarthritis, unlike medication or lab monitoring.

Question 4 of 5

The client reports a twisting motion of the knee during a basketball game. The client is scheduled for arthroscopic surgery to repair the injury. Which information should the nurse teach the client about postoperative care?

Correct Answer: B

Rationale: Routine pain medication manages post-arthroscopy discomfort, promoting recovery and mobility.

Question 5 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.

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