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 rheumatoid arthritis asks the nurse, 'Is it all right for me to wear this copper bracelet to help cure my arthritis?' Which statement by the nurse would be most appropriate?

Correct Answer: B

Rationale: Copper bracelets may provide placebo pain relief, and allowing their use supports autonomy if not harmful. Questioning, deferring to HCP, or dismissing are less supportive.

Question 2 of 5

The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?

Correct Answer: 170

Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.

Question 3 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 4 of 5

The client diagnosed with peptic ulcer disease is being discharged. Which nursing task can be delegated to a trained unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Cleaning the room is within UAP scope, unlike teaching, IV removal, or lab monitoring.

Question 5 of 5

The nurse is caring for a client who is a recent immigrant to the country. The family is present in the room and one member of the family speaks English. Which should the nurse implement to complete the admission assessment?

Correct Answer: D

Rationale: Using a medical interpreter ensures accurate, confidential communication, per standards. Family interpreting risks bias, gestures are inadequate, and notifying HCP avoids responsibility.

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