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 teaching the client how to use guided imagery. Which information would indicate the teaching has been effective?

Correct Answer: D

Rationale: Visualizing a favorite place is a core component of guided imagery, indicating effective teaching. Chanting, arm rubbing, and music selection are not specific to guided imagery.

Question 2 of 5

The 24-year-old African American female client tells the nurse she has a brother with sickle cell disease. She is engaged to be married and is concerned about giving this disease to her future children. Which information is most important to provide to the client?

Correct Answer: C

Rationale: Genetic counseling assesses carrier status and risks for sickle cell disease, the most proactive step.

Question 3 of 5

The nurse is caring for a client who is a recent immigrant to the country. The family is present in the room and one member of the family speaks English. Which should the nurse implement to complete the admission assessment?

Correct Answer: D

Rationale: Using a medical interpreter ensures accurate, confidential communication, per standards. Family interpreting risks bias, gestures are inadequate, and notifying HCP avoids responsibility.

Question 4 of 5

The client using contraceptive foam for birth control has not had her menses for two (2) months. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Amenorrhea for two months with contraceptive foam (less effective than other methods) suggests possible pregnancy, requiring a pregnancy test first. Vaginal exam, urine analysis, and vital signs are secondary.

Question 5 of 5

The client has sustained severe burns on both the anterior right and left leg and the anterior chest and abdomen. According to the rule of nines, what percentage of the body has been burned?

Correct Answer: 36

Rationale: Rule of nines: anterior legs (9% each = 18%), anterior chest/abdomen (18%) = 18% + 18% = 36%.

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