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

Which assessment data indicate to the nurse the client with diarrhea is experiencing a complication?

Correct Answer: C

Rationale: Tented turgor indicates dehydration, a serious diarrhea complication, requiring immediate intervention.

Question 2 of 5

The client diagnosed with atherosclerosis has coronary artery disease. The client experiences sudden chest pain when walking to the nurse's station. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Having the client sit reduces cardiac demand, the first step in suspected angina, per AHA guidelines.

Question 3 of 5

Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?

Correct Answer: A

Rationale: Cardiomyopathy impairs cardiac output, leading to heart failure, the primary client problem.

Question 4 of 5

When interviewing the client of Hindu heritage, which information should the nurse obtain to plan culturally sensitive care?

Correct Answer: B

Rationale: Ayurveda, common in Hindu culture, may influence health practices (e.g., herbs, diet), guiding culturally sensitive care. Advance directives, interpreters, and allergies are general, not Hindu-specific.

Question 5 of 5

The client is performing breast self-examination (BSE) by the American Cancer Society's recommended steps and has completed palpating the breast. Which step is next when completing the BSE?

Correct Answer: A

Rationale: After palpation, visual inspection in a mirror detects skin changes, the next ACS BSE step.

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