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

Questions 157

NCLEX-PN

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Extract:


Question 1 of 5

Which intervention should the nurse implement when discussing health promotion activities for a client with a German heritage who leads a sedentary lifestyle?

Correct Answer: C

Rationale: A sedentary lifestyle increases cardiovascular risks; identifying an exercise program promotes health, tailored to the client’s needs. Support groups, alcohol abstinence, and food restrictions are less prioritized without specific indications.

Question 2 of 5

The client is being admitted into the hospital with a diagnosis of pneumonia. Which HCP order should the nurse implement first?

Correct Answer: B

Rationale: Sputum culture identifies the causative organism, guiding antibiotic therapy, and must be collected before antibiotics.

Question 3 of 5

The client with type 2 diabetes mellitus asks the nurse, 'What does it matter if my glucose level is high? I don't feel bad.' Which statement by the nurse is most appropriate?

Correct Answer: A

Rationale: High glucose causes long-term eye and kidney damage, a clear, patient-centered explanation.

Question 4 of 5

The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?

Correct Answer: B

Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.

Question 5 of 5

The client is using acupuncture to help relieve severe back pain. Which client problem would the home health nurse identify in the plan of care?

Correct Answer: B

Rationale: Acupuncture carries a small risk of infection from unsterile needles, a valid care plan problem. Paralysis, AIDS, or non-resolution are not primary concerns with professional acupuncture.

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