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 information is the most critical indicator of a neurological deficit?

Correct Answer: B

Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.

Question 2 of 5

The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?

Correct Answer: A

Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.

Question 3 of 5

The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.

Question 4 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 5 of 5

The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?

Correct Answer: C

Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.

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