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

Questions 157

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Extract:


Question 1 of 5

The unlicensed assistive personnel (UAP) notices a strange amulet pinned to the client's gown and offers to remove it. The client does not want it removed. Which rationale should the nurse give the UAP for allowing the client to continue to wear the amulet?

Correct Answer: C

Rationale: The amulet likely provides emotional or spiritual support, respecting patient-centered care. Calling it superstitious, silly, or worthless is dismissive and culturally insensitive.

Question 2 of 5

Which priority problem should the clinic nurse identify for the client who is greater than ideal body weight and weighs 87 kg?

Correct Answer: A

Rationale: Obesity increases risks for complications (e.g., diabetes, CV
D), the priority problem per nursing assessment.

Question 3 of 5

The client receiving a continuous heparin drip complains of sudden chest pain on inspiration and tells the nurse, 'Something is really wrong with me.' Which intervention should the nurse implement first?

Correct Answer: C

Rationale: Sudden pleuritic chest pain suggests pulmonary embolism, a heparin complication; assessing lung sounds is the first step.

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

The nurse at the Family Planning Clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation?

Correct Answer: A

Rationale: Condoms prevent STDs, a key public health message for students. Annual exams are recommended but secondary, hormonal delivery methods are specific, and not all contraception requires prescriptions (e.g., condoms).

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