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 with anemia has been taking iron supplements. Which data would indicate to the nurse the treatment has been effective?

Correct Answer: B

Rationale: Improved ADL performance indicates increased energy from corrected anemia, an effective outcome. Iron-rich menus are educational, tarry stools are side effects, and nail dystrophy is a symptom.

Question 2 of 5

The client with type 2 diabetes mellitus asks the nurse, 'What does it matter if my glucose level is high? I don't feel bad.' Which statement by the nurse is most appropriate?

Correct Answer: A

Rationale: High glucose causes long-term eye and kidney damage, a clear, patient-centered explanation.

Question 3 of 5

The primary nurse is applying antiembolism hose to the client who had a total hip replacement. Which situation warrants immediate intervention by the charge nurse?

Correct Answer: C

Rationale: Wrinkles in antiembolism hose can cause skin breakdown or impaired circulation, requiring immediate correction.

Question 4 of 5

The nurse is initiating a blood transfusion. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,B,E

Rationale: Lung assessment monitors for transfusion reactions, consent ensures informed care, and order verification confirms accuracy.

Question 5 of 5

The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?

Correct Answer: B

Rationale: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.

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