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

Questions 157

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Extract:


Question 1 of 5

The client with type 1 diabetes asks the nurse, 'What causes me to get dehydrated when my glucose level is elevated?' Which statement would be the nurse's best response?

Correct Answer: B

Rationale: Hyperglycemia causes osmotic diuresis, pulling fluid from tissues, leading to dehydration.

Question 2 of 5

The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?

Correct Answer: D

Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.

Question 3 of 5

The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?

Correct Answer: B

Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.

Question 4 of 5

The nurse is teaching a class on sexually transmitted diseases to high school sophomores. Which information should be included in the discussion?

Correct Answer: D

Rationale: Unprotected sex increases STD risk (e.g., HIV, chlamydia), a key teaching point for adolescents, per CDC guidelines.

Question 5 of 5

The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.

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