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

Questions 157

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Question 1 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 2 of 5

Which problem is priority for the 24-year-old client diagnosed with endometriosis who is admitted to the gynecological unit?

Correct Answer: B

Rationale: Pain is the priority in endometriosis due to severe dysmenorrhea and pelvic discomfort, per Maslow’s hierarchy, impacting quality of life.

Question 3 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 4 of 5

According to the nursing process, which interventions should the nurse implement when caring for a client diagnosed with a right-sided cerebrovascular accident (stroke) and who has difficulty swallowing? List the interventions in order of the nursing process.

Order the Items

Source Container

Write the client problem of 'altered tissue perfusion.'
Assess the client's level of consciousness and speech.
Request dietary to send a full liquid tray with Thick-It.
Instruct the UAP to elevate the head of the bed 30 degrees.
Note the amount of food consumed on the dinner tray.

Correct Answer: B,A,C,D,E

Rationale: 1) Assess LOC/speech (assessment); 2) Write problem (diagnosis); 3) Request diet (planning); 4) Instruct HOB elevation (implementation); 5) Note food intake (evaluation).

Question 5 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.

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