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

Questions 157

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Question 1 of 5

The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?

Correct Answer: C

Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.

Question 2 of 5

The nurse at the Family Planning Clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation?

Correct Answer: A

Rationale: Condoms prevent STDs, a key public health message for students. Annual exams are recommended but secondary, hormonal delivery methods are specific, and not all contraception requires prescriptions (e.g., condoms).

Question 3 of 5

The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?

Correct Answer: D

Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.

Question 4 of 5

The client is diagnosed with aortic stenosis. Which assessment data indicate a complication is occurring?

Correct Answer: C

Rationale: Pink, frothy sputum and DOE suggest pulmonary edema, a complication of aortic stenosis due to heart failure.

Question 5 of 5

Which psychosocial client problem should the nurse write for the client diagnosed with cancer of the lung and metastasis to the brain?

Correct Answer: B

Rationale: Grieving is the priority psychosocial problem in terminal cancer with metastasis, per Kübler-Ross.

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