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

Questions 157

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Extract:


Question 1 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 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

Which priority problem should the clinic nurse identify for the client who is greater than ideal body weight and weighs 87 kg?

Correct Answer: A

Rationale: Obesity increases risks for complications (e.g., diabetes, CV
D), the priority problem per nursing assessment.

Question 4 of 5

Which comment by the client diagnosed with rule-out Guillain-Barré (GB) syndrome is most significant when completing the admission interview?

Correct Answer: A

Rationale: Recent gastroenteritis (e.g., Campylobacter) is a known trigger for Guillain-Barré, making it significant.

Question 5 of 5

Which diagnostic procedure does the nurse anticipate being ordered for the 27-year-old female client who is reporting irregular menses and complaining of lower left abdominal pain during menses?

Correct Answer: A

Rationale: A pelvic sonogram evaluates pelvic pathology (e.g., ovarian cysts, endometriosis) causing irregular menses and pain, the most likely test.

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