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 venous insufficiency tells the nurse, 'The doctor just told me about my disease and walked out of the room. What am I supposed to do?' Which statement is the nurse's best response?

Correct Answer: B

Rationale: Leg elevation reduces edema in venous insufficiency, a practical teaching point addressing the client’s question.

Question 2 of 5

The unlicensed assistive personnel (UAP) notifies the nurse the client diagnosed with chronic obstructive pulmonary disease is complaining of shortness of breath and would like his oxygen level increased. Which intervention should the nurse implement?

Correct Answer: C

Rationale: A pulse oximeter reading assesses oxygenation status, guiding whether oxygen adjustment is needed.

Question 3 of 5

The rehabilitation nurse is caring for an elderly client who had a surgical repair of a fractured hip. The client states she misses her dog. Which intervention should the nurse implement?

Correct Answer: C

Rationale: Pet therapy with a trained dog provides emotional support without logistical issues of bringing the client’s dog. TV shows, family visits, or empathy alone are less effective.

Question 4 of 5

The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?

Correct Answer: D

Rationale: Obesity (BMI ~38) and hypertension (154/98) are health risks; discussing weight loss addresses these priorities. Loud speech may be cultural, not anger; extended eye contact may be disrespectful; and discussing care with family requires consent.

Question 5 of 5

The client who has just received a permanent pacemaker is admitted to the telemetry floor. The nurse writes the problem 'knowledge deficit.' Which interventions should be included in the plan of care? Select all that apply.

Correct Answer: B,C,D,E

Rationale: Avoiding electrical devices, carrying ID, monitoring pulse, and reporting bradycardia ensure pacemaker safety.

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