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

Questions 157

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Extract:


Question 1 of 5

Which problem is priority for the 24-year-old client diagnosed with endometriosis who is admitted to the gynecological unit?

Correct Answer: B

Rationale: Pain is the priority in endometriosis due to severe dysmenorrhea and pelvic discomfort, per Maslow’s hierarchy, impacting quality of life.

Question 2 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 3 of 5

Which assessment data indicate the client has developed a deep vein thrombosis (DVT) in the left leg?

Correct Answer: B

Rationale: Increased calf circumference suggests DVT due to swelling from clot-related obstruction.

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

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.

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