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

Questions 157

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Extract:


Question 1 of 5

Which diagnostic procedure does the nurse anticipate being ordered for the 27-year-old female client who is reporting irregular menses and complaining of lower left abdominal pain during menses?

Correct Answer: A

Rationale: A pelvic sonogram evaluates pelvic pathology (e.g., ovarian cysts, endometriosis) causing irregular menses and pain, the most likely test.

Question 2 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 3 of 5

Which assessment data indicate to the nurse the client has a conductive hearing loss?

Correct Answer: C

Rationale: Weber test lateralizing to the affected ear indicates conductive hearing loss, per otology standards.

Question 4 of 5

Which laboratory result warrants immediate intervention by the nurse for the female client diagnosed with systemic lupus erythematosus (SLE)?

Correct Answer: D

Rationale: Elevated WBC (15,000) suggests infection or flare in SLE, requiring immediate intervention due to immunosuppression.

Question 5 of 5

According to the nursing process, which interventions should the nurse implement when caring for a client diagnosed with a right-sided cerebrovascular accident (stroke) and who has difficulty swallowing? List the interventions in order of the nursing process.

Order the Items

Source Container

Write the client problem of 'altered tissue perfusion.'
Assess the client's level of consciousness and speech.
Request dietary to send a full liquid tray with Thick-It.
Instruct the UAP to elevate the head of the bed 30 degrees.
Note the amount of food consumed on the dinner tray.

Correct Answer: B,A,C,D,E

Rationale: 1) Assess LOC/speech (assessment); 2) Write problem (diagnosis); 3) Request diet (planning); 4) Instruct HOB elevation (implementation); 5) Note food intake (evaluation).

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