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

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 3 of 5

The client with chronic pancreatitis is admitted with an acute exacerbation of the disease. Which laboratory result warrants immediate intervention by the nurse?

Correct Answer: C

Rationale: Elevated glucose in pancreatitis risks DKA or complications, requiring immediate insulin or HCP notification.

Question 4 of 5

The unlicensed assistive personnel asked the wound care nurse why a client has cabbage leaves on the wound. Which statement would be the best response by the nurse?

Correct Answer: A

Rationale: Cabbage leaves have documented anti-inflammatory properties, used in folk medicine. Calling it ignorance, placebo, or only moisture is dismissive or inaccurate.

Question 5 of 5

The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?

Correct Answer: 170

Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.

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