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

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

The client is performing breast self-examination (BSE) by the American Cancer Society's recommended steps and has completed palpating the breast. Which step is next when completing the BSE?

Correct Answer: A

Rationale: After palpation, visual inspection in a mirror detects skin changes, the next ACS BSE step.

Question 2 of 5

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task could be delegated to the UAP?

Correct Answer: C

Rationale: Routine vital sign collection is within UAP scope, unlike post-medication BP, HCP notification, or lab discussions.

Question 3 of 5

The nurse is at home preparing for the 7 a.m. to 7 p.m. shift and has the flu with a temperature of 100.4°F. Which action should the nurse take?

Correct Answer: A

Rationale: Flu with fever risks patient safety; notifying the hospital to stay home is the ethical action.

Question 4 of 5

Which comment by the client diagnosed with rule-out Guillain-Barré (GB) syndrome is most significant when completing the admission interview?

Correct Answer: A

Rationale: Recent gastroenteritis (e.g., Campylobacter) is a known trigger for Guillain-Barré, making it significant.

Question 5 of 5

The nurse is assessing the client with a pneumothorax who has a closed-chest drainage system. Which data indicate the client's condition is stable?

Correct Answer: A

Rationale: Fluctuation in the water-seal compartment indicates a patent system, a sign of stability in pneumothorax.

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