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

Questions 157

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is preparing to make morning rounds. Which client should the nurse see first?

Correct Answer: C

Rationale: Chest pain, even if possibly dietary, may indicate a cardiac issue, requiring immediate assessment per ABCs. Cultural decision-making, pain refusal, and anger are less urgent.

Question 2 of 5

Which assessment information is the most critical indicator of a neurological deficit?

Correct Answer: B

Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.

Question 3 of 5

The client reports a twisting motion of the knee during a basketball game. The client is scheduled for arthroscopic surgery to repair the injury. Which information should the nurse teach the client about postoperative care?

Correct Answer: B

Rationale: Routine pain medication manages post-arthroscopy discomfort, promoting recovery and mobility.

Question 4 of 5

The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?

Correct Answer: 75

Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.

Question 5 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.

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