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

Questions 157

NCLEX-PN

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Extract:


Question 1 of 5

The elderly female client of Mexican heritage is upset and tells the nurse the unlicensed assistive personnel (UAP) complimented her grandchild's hair. Which intervention should the nurse implement?

Correct Answer: D

Rationale: In Mexican culture, complimenting a child may be linked to 'mal de ojo' (evil eye), causing distress. Educating the UAP about this belief prevents further upset. Asking why, ignoring, or notifying a psychologist does not address cultural sensitivity.

Question 2 of 5

The client comes to the clinic complaining of itching on the left wrist near a wristwatch. The nurse notes an erythematous area along with pruritic vesicles around the left wrist. Which condition should the nurse suspect?

Correct Answer: A

Rationale: Itching, erythema, and vesicles near a wristwatch suggest contact dermatitis, likely from nickel allergy.

Question 3 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 4 of 5

Which assessment data would make the nurse suspect the client has cancer of the bladder?

Correct Answer: A

Rationale: Gross painless hematuria is the hallmark symptom of bladder cancer, per AUA guidelines.

Question 5 of 5

The nurse is assessing the client with psoriasis. Which data support this diagnosis?

Correct Answer: A

Rationale: Psoriasis presents as red plaques with silvery scales, the hallmark clinical finding.

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