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

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

ATI NCLEX-PN Practice Questions Questions

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 client is admitted to the medical unit complaining of severe abdominal pain. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Assessing for complications (e.g., perforation) is the first step in severe abdominal pain, per nursing process.

Question 3 of 5

The nurse and the unlicensed assistive personnel are performing postmortem care on a client. Two (2) of the family members are seen laughing about a memory of the client. What explanation of this behavior would be best for the nurse to give the unlicensed assistive personnel?

Correct Answer: C

Rationale: Laughter about memories is a coping mechanism for grief, per cultural and psychological norms. Assuming lack of love, inappropriateness, or lack of education is judgmental.

Question 4 of 5

The female client with a cold is prescribed warfarin (Coumadin), an anticoagulant, for chronic atrial fibrillation. The client calls the clinic and tells the nurse she is bleeding and bruising more than normal. Which information indicates a need for further teaching?

Correct Answer: A

Rationale: Echinacea may interact with warfarin, increasing bleeding risk, indicating a need for teaching about herb-drug interactions. Monthly INR, acetaminophen (safe with warfarin), and label reading are appropriate.

Question 5 of 5

The client with a deficiency of the immune system questions the nurse about the use of ginseng. Which information should the nurse teach the client?

Correct Answer: C

Rationale: Ginseng should not be used continuously (>2 months) due to risks like hypertension or insomnia, especially in immunocompromised clients. Daily dosing, caffeine, or no contraindications are inaccurate.

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