NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

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Question 1 of 5

The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?

Correct Answer: C

Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.

Question 2 of 5

An adult is receiving external radiation as part of her treatment for cancer. She asks what precautions are necessary for her to take because of the radiation therapy. The nurse replies that the client should not be around which of the following persons?

Correct Answer: A

Rationale: External radiation poses a risk to pregnant women due to fetal sensitivity to radiation exposure. Sick individuals, pacemaker users, or elderly persons are not specifically at risk.

Question 3 of 5

Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:

Correct Answer: D

Rationale: These foods are rich in vitamins, minerals, and antioxidants, which support the immune system and help improve body defenses. The other options are not directly related to the primary benefit of consuming these vegetables. Nonpharmacological Therapies

Question 4 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

Correct Answer: D

Rationale: A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like tissue damage or coagulopathy, requiring immediate assessment. The daughter’s threat (
A) is administrative, the overdue assistant (
B) is a personnel issue, and the physician’s request (
C) can be delegated, all of which are lower priority.

Question 5 of 5

A client is admitted to the health care facility with bowel obstruction secondary to colon cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which step of the nursing process is the nurse performing?

Correct Answer: B

Rationale: During the data collection step of the nursing process, the nurse obtains the client's health history, measures vital signs, and performs a physical examination to gather data for use in formulating the nursing diagnoses. During the planning step, the nurse designs methods to help resolve client problems and meet client needs. During evaluation, the nurse determines the effectiveness of nursing interventions in achieving client goals. During implementation, the nurse takes actions to meet the client's needs.

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