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 Navajo client comes to the clinic complaining of chest pain and has a pouch filled with objects around his neck. Which statement best supports the nurse allowing the client to wear the pouch?

Correct Answer: A

Rationale: The pouch is a Navajo cultural practice (e.g., medicine pouch), and allowing it respects beliefs unless it interferes with care (e.g., imaging). Upset, absolute rules, or specific spiritual claims are less accurate.

Question 2 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 3 of 5

Which expected outcome should be included in the plan of care for a postoperative client practicing guided imagery?

Correct Answer: B

Rationale: Guided imagery reduces pain perception, so a decreased pain score is the expected outcome. WBC count, urine output, and dressing drainage are unrelated.

Question 4 of 5

Which intervention will help prevent the nurse from being sued for malpractice throughout his or her professional practice?

Correct Answer: A

Rationale: Accurate documentation provides evidence of care, the primary defense against malpractice claims.

Question 5 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.

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