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 primary nurse is applying antiembolism hose to the client who had a total hip replacement. Which situation warrants immediate intervention by the charge nurse?

Correct Answer: C

Rationale: Wrinkles in antiembolism hose can cause skin breakdown or impaired circulation, requiring immediate correction.

Question 2 of 5

The home health nurse is assessing a client diagnosed with congestive heart failure who has a slice of raw potato on a carbuncle on the abdomen. Which action should the nurse implement first?

Correct Answer: B

Rationale: Asking about the potato’s purpose respects cultural or folk beliefs (e.g., drawing out infection) and guides care. Explaining, cleansing, or ignoring may dismiss the client’s perspective.

Question 3 of 5

The client diagnosed with non-Hodgkin's lymphoma tells the nurse, 'I am so tired. I just wish I could die.' Which stage of the grieving process does this statement represent?

Correct Answer: D

Rationale: Wishing to die reflects acceptance in Kübler-Ross’s grieving stages, common in terminal illness.

Question 4 of 5

The nurse has just received the shift assessment. Which client should the nurse assess first?

Correct Answer: B

Rationale: Chest pain may indicate a life-threatening condition (e.g., MI), requiring immediate assessment, per triage priorities.

Question 5 of 5

Which question should the nurse ask the client who is being admitted to rule out infective endocarditis?

Correct Answer: B

Rationale: Valve replacement is a major risk for endocarditis, making this the most relevant question.

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