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 chronic renal failure is receiving peritoneal dialysis. Which assessment by the nurse warrants immediate intervention?

Correct Answer: A

Rationale: Cloudy dialysate suggests peritonitis, a serious complication requiring immediate intervention.

Question 2 of 5

The client receiving a continuous heparin drip complains of sudden chest pain on inspiration and tells the nurse, 'Something is really wrong with me.' Which intervention should the nurse implement first?

Correct Answer: C

Rationale: Sudden pleuritic chest pain suggests pulmonary embolism, a heparin complication; assessing lung sounds is the first step.

Question 3 of 5

Which action by the unlicensed assistive personnel (UAP) requires intervention by the nurse?

Correct Answer: D

Rationale: Wiping back to front risks UTI, requiring intervention; other actions are appropriate.

Question 4 of 5

The nurse at the Family Planning Clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation?

Correct Answer: A

Rationale: Condoms prevent STDs, a key public health message for students. Annual exams are recommended but secondary, hormonal delivery methods are specific, and not all contraception requires prescriptions (e.g., condoms).

Question 5 of 5

The female client is admitted to the orthopedic floor with a spiral fracture of the arm and multiple contusions and abrasions covering the trunk of the body. Her husband accompanies her. During the admission interview, which intervention is priority?

Correct Answer: B

Rationale: Privacy allows safe discussion of injury causes, assessing for potential abuse, the priority.

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