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 is assisting the client diagnosed with chronic pain to identify methods of complementary and alternative medicine (CAM). Which would indicate an expected outcome was achieved?

Correct Answer: D

Rationale: Performing ADLs without pain indicates effective CAM, improving function. Bed rest, increased pain, or routine medication are not CAM-specific outcomes.

Question 2 of 5

The 85-year-old client diagnosed with severe end-stage chronic obstructive pulmonary disease has a chest x-ray incidentally revealing an eight (8)-cm abdominal aortic aneurysm (AAA). Which intervention should the nurse implement?

Correct Answer: A

Rationale: An 8-cm AAA in an elderly COPD patient has high rupture risk; end-of-life discussions are appropriate given surgical risks.

Question 3 of 5

The male client is wearing a silver amulet to protect from evil spirits. Which action should the nurse take when sending the client to surgery?

Correct Answer: D

Rationale: Taping the amulet respects the client’s spiritual beliefs while ensuring safety in the OR, per patient-centered care. Removing, sending home, or questioning beliefs is less sensitive.

Question 4 of 5

The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?

Correct Answer: 170

Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.

Question 5 of 5

The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?

Correct Answer: A

Rationale: Notifying the team and charting the refusal respects the client’s Jehovah’s Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.

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