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 teaching a 28-year-old client who was recently prescribed birth control pills. Which statement by the client indicates teaching has been effective?

Correct Answer: A

Rationale: Antibiotics (e.g., rifampin) reduce oral contraceptive efficacy, requiring backup methods, indicating effective teaching. Missing pills, patch preference, or ring replacement are incorrect.

Question 2 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 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

According to the nursing process, which interventions should the nurse implement when caring for a client diagnosed with a right-sided cerebrovascular accident (stroke) and who has difficulty swallowing? List the interventions in order of the nursing process.

Order the Items

Source Container

Write the client problem of 'altered tissue perfusion.'
Assess the client's level of consciousness and speech.
Request dietary to send a full liquid tray with Thick-It.
Instruct the UAP to elevate the head of the bed 30 degrees.
Note the amount of food consumed on the dinner tray.

Correct Answer: B,A,C,D,E

Rationale: 1) Assess LOC/speech (assessment); 2) Write problem (diagnosis); 3) Request diet (planning); 4) Instruct HOB elevation (implementation); 5) Note food intake (evaluation).

Question 5 of 5

The client is newly diagnosed with epilepsy. Which statement indicates the client needs clarification of the discharge teaching?

Correct Answer: A

Rationale: Driving is restricted until seizure-free (typically 6–12 months), indicating a need for further teaching.

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