NCLEX Questions, ATI NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

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ATI NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is at home preparing for the 7 a.m. to 7 p.m. shift and has the flu with a temperature of 100.4°F. Which action should the nurse take?

Correct Answer: A

Rationale: Flu with fever risks patient safety; notifying the hospital to stay home is the ethical action.

Question 2 of 5

The client comes to the emergency department complaining of pain in the right forearm. The nurse notes a large area of redness and edema over the forearm, and the client has an elevated temperature. Which condition should the nurse suspect?

Correct Answer: A

Rationale: Redness, edema, and fever suggest cellulitis, a bacterial skin infection, the most likely diagnosis.

Question 3 of 5

The unlicensed assistive personnel (UAP) notifies the nurse the client diagnosed with chronic obstructive pulmonary disease is complaining of shortness of breath and would like his oxygen level increased. Which intervention should the nurse implement?

Correct Answer: C

Rationale: A pulse oximeter reading assesses oxygenation status, guiding whether oxygen adjustment is needed.

Question 4 of 5

The nurse is initiating a blood transfusion. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,B,E

Rationale: Lung assessment monitors for transfusion reactions, consent ensures informed care, and order verification confirms accuracy.

Question 5 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.

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