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 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.

Question 2 of 5

The nurse is admitting a female client to the medical-surgical unit when the client tells the nurse she takes many vitamins to keep her healthy. Which statement is the nurse's most appropriate response to the information provided by the client?

Correct Answer: B

Rationale: Informing the HCP about vitamins ensures safe prescribing, as some vitamins (e.g., A,
D) interact with medications. Dismissing vitamins, focusing on water-soluble vitamins, or assuming deficiency is inaccurate.

Question 3 of 5

The client with a history of substance abuse presents to the emergency department complaining of right flank pain, and the urinalysis indicates microscopic blood. Which intervention should the nurse implement?

Correct Answer: D

Rationale: Flank pain with hematuria suggests a renal issue (e.g., stones); pain medication is the priority.

Question 4 of 5

Which interventions should the emergency department nurse implement for a client who has an AP of 122 and a BP of 80/50? Select all that apply.

Correct Answer: B,D,E

Rationale: IV access, warming, and type/crossmatch address hypotension and potential blood loss; reverse Trendelenburg or admission are inappropriate.

Question 5 of 5

The client is admitted to the intensive care unit diagnosed with rule-out adult respiratory distress syndrome (ARDS). The client is receiving 10 L/min of oxygen via nasal cannula. Which arterial blood gases indicate the client does not have ARDS?

Correct Answer: A

Rationale: Normal ABGs (pH 7.38, PaO2 82) rule out ARDS, which causes severe hypoxemia (PaO2 <60).

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