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 planning the care for the client with multiple stage IV pressure ulcers. Which complication results from these pressure ulcers?

Correct Answer: B

Rationale: Stage IV pressure ulcers expose bone, risking osteomyelitis (bone infection), a severe complication.

Question 2 of 5

The client diagnosed with atherosclerosis has coronary artery disease. The client experiences sudden chest pain when walking to the nurse's station. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Having the client sit reduces cardiac demand, the first step in suspected angina, per AHA guidelines.

Question 3 of 5

The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?

Correct Answer: A

Rationale: Purple, round marks suggest cupping, a traditional therapy for respiratory issues, common in some cultures. Bruising, abuse, or client causation are less likely without evidence.

Question 4 of 5

Which information would be most important for the public health department nurse to obtain before giving the client condoms?

Correct Answer: C

Rationale: Latex allergies can cause severe reactions, making it critical to assess before providing condoms. Frequency, preferences, and history are secondary.

Question 5 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.

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