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 nurse and the unlicensed assistive personnel (UAP) are caring for a client who is anxious. Which task should the nurse delegate to the UAP?

Correct Answer: B

Rationale: Giving a back rub is a non-invasive, supportive task within UAP scope, reducing anxiety. Teaching, listening, and guided imagery require nursing judgment.

Question 2 of 5

The nurse is teaching a 28-year-old client who was recently prescribed birth control pills. Which statement by the client indicates teaching has been effective?

Correct Answer: A

Rationale: Antibiotics (e.g., rifampin) reduce oral contraceptive efficacy, requiring backup methods, indicating effective teaching. Missing pills, patch preference, or ring replacement are incorrect.

Question 3 of 5

The client diagnosed with stomach cancer has developed disseminated intravascular coagulopathy (DIC). Which collaborative intervention should the nurse expect to implement?

Correct Answer: A

Rationale: Heparin prevents further clotting in DIC, a standard collaborative intervention, per ISTH guidelines.

Question 4 of 5

The client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.

Question 5 of 5

The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?

Correct Answer: B

Rationale: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.

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