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

Questions 157

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Question 1 of 5

The client is using acupuncture to help relieve severe back pain. Which client problem would the home health nurse identify in the plan of care?

Correct Answer: B

Rationale: Acupuncture carries a small risk of infection from unsterile needles, a valid care plan problem. Paralysis, AIDS, or non-resolution are not primary concerns with professional acupuncture.

Question 2 of 5

Which data indicate to the nurse the client with end-stage liver failure is improving?

Correct Answer: D

Rationale: Decreased abdominal girth indicates reduced ascites, a sign of improved liver function.

Question 3 of 5

The client diagnosed with neurogenic diabetes insipidus (DI) asks the nurse, 'What is wrong with me? Why do I urinate so much?' Which statement by the nurse is most appropriate?

Correct Answer: B

Rationale: Neurogenic DI results from ADH deficiency due to pituitary dysfunction, causing polyuria.

Question 4 of 5

The 44-year-old female client calls the clinic and tells the nurse she felt a lump while performing breast self-examination (BSE). Which question should the nurse ask the client?

Correct Answer: C

Rationale: The timing of the last menstrual period helps correlate the lump with hormonal changes, which can cause benign cysts, guiding further evaluation.

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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