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

Questions 157

NCLEX-PN

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Question 1 of 5

The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?

Correct Answer: B

Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.

Question 2 of 5

The client approaches the nurse about a weight-loss program. Which complementary therapy should the nurse suggest to assist the client's plan?

Correct Answer: C

Rationale: Hatha yoga promotes physical activity and mindfulness, supporting weight loss. Music therapy, hypnotherapy, and Alexander technique are less directly linked to weight management.

Question 3 of 5

The nurse is incorporating complementary therapies in the routines of residents of a long-term care facility. Which information should the nurse consider when matching the clients with the therapy? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Matching therapies requires considering client preferences, likes/dislikes, therapy benefits, and physical/mental abilities for effectiveness and adherence. Significant other’s concerns are secondary unless they impact care.

Question 4 of 5

The client expresses anxiety prior to an upcoming procedure. Which should the nurse implement first to assist the client?

Correct Answer: C

Rationale: Slow deep breathing is a non-invasive, immediate anxiety reduction technique. Sedatives, family notification, or dismissing concerns are secondary or unhelpful.

Question 5 of 5

The client is admitted to the medical unit complaining of severe abdominal pain. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Assessing for complications (e.g., perforation) is the first step in severe abdominal pain, per nursing process.

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