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 male client tells the nurse that he has been using acupuncture to control his chronic back pain. Which is the nurse's best response?

Correct Answer: B

Rationale: Asking about pain pre- and post-acupuncture assesses its effectiveness, supporting patient-centered care. Insurance discussion, needle sterilization (done by professionals), or suggesting alternatives is less relevant.

Question 2 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 3 of 5

The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?

Correct Answer: A

Rationale: Purple, round marks suggest cupping, a traditional therapy for respiratory issues, common in some cultures. Bruising, abuse, or client causation are less likely without evidence.

Question 4 of 5

The primary nurse is applying antiembolism hose to the client who had a total hip replacement. Which situation warrants immediate intervention by the charge nurse?

Correct Answer: C

Rationale: Wrinkles in antiembolism hose can cause skin breakdown or impaired circulation, requiring immediate correction.

Question 5 of 5

The client asks the nurse about using herbs and special teas to decrease blood pressure. Which question is most important for the nurse to consider before addressing the client's concerns?

Correct Answer: B

Rationale: Safety is the priority when considering herbs/teas, as they may interact with medications or worsen hypertension. Cost, knowledge, and scope are secondary.

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