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

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

ATI NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The rehabilitation nurse is caring for an elderly client who had a surgical repair of a fractured hip. The client states she misses her dog. Which intervention should the nurse implement?

Correct Answer: C

Rationale: Pet therapy with a trained dog provides emotional support without logistical issues of bringing the client’s dog. TV shows, family visits, or empathy alone are less effective.

Question 2 of 5

The telemetry nurse is monitoring the following clients. Which client should the telemetry nurse instruct the primary nurse to assess first?

Correct Answer: C

Rationale: Multifocal PVCs post-MI indicate higher arrhythmia risk, requiring urgent assessment, per ACLS guidelines.

Question 3 of 5

The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?

Correct Answer: D

Rationale: Obesity (BMI ~38) and hypertension (154/98) are health risks; discussing weight loss addresses these priorities. Loud speech may be cultural, not anger; extended eye contact may be disrespectful; and discussing care with family requires consent.

Question 4 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 5 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.

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