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 priority problem should the clinic nurse identify for the client who is greater than ideal body weight and weighs 87 kg?

Correct Answer: A

Rationale: Obesity increases risks for complications (e.g., diabetes, CV
D), the priority problem per nursing assessment.

Question 2 of 5

The 44-year-old female client calls the clinic and tells the nurse she felt a lump while performing breast self-examination (BSE). Which question should the nurse ask the client?

Correct Answer: C

Rationale: The timing of the last menstrual period helps correlate the lump with hormonal changes, which can cause benign cysts, guiding further evaluation.

Question 3 of 5

The nurse is preparing a teaching plan for a client diagnosed with chronic stress. Which information should the nurse include in the teaching care plan? Select all that apply.

Correct Answer: A,B,E

Rationale: Discussing stress-illness links, defining terms, and providing resources empower the client. Nurse’s personal methods are anecdotal, and TCM referral is specific without indication.

Question 4 of 5

The nurse is initiating a blood transfusion. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,B,E

Rationale: Lung assessment monitors for transfusion reactions, consent ensures informed care, and order verification confirms accuracy.

Question 5 of 5

The nurse is preparing the plan of care for the client diagnosed with migraine headaches. Which information regarding complementary therapies should the nurse include in this plan?

Correct Answer: D

Rationale: Aromatic oils may trigger migraines; avoiding them is key in complementary therapy for migraine management. Therapeutic touch, autogenic therapy, and massage are less specific.

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