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

Questions 157

NCLEX-PN

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Question 1 of 5

The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?

Correct Answer: A

Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.

Question 2 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 3 of 5

The client has sustained severe burns on both the anterior right and left leg and the anterior chest and abdomen. According to the rule of nines, what percentage of the body has been burned?

Correct Answer: 36

Rationale: Rule of nines: anterior legs (9% each = 18%), anterior chest/abdomen (18%) = 18% + 18% = 36%.

Question 4 of 5

Which information would be most important for the public health department nurse to obtain before giving the client condoms?

Correct Answer: C

Rationale: Latex allergies can cause severe reactions, making it critical to assess before providing condoms. Frequency, preferences, and history are secondary.

Question 5 of 5

The elderly female client of Mexican heritage is upset and tells the nurse the unlicensed assistive personnel (UAP) complimented her grandchild's hair. Which intervention should the nurse implement?

Correct Answer: D

Rationale: In Mexican culture, complimenting a child may be linked to 'mal de ojo' (evil eye), causing distress. Educating the UAP about this belief prevents further upset. Asking why, ignoring, or notifying a psychologist does not address cultural sensitivity.

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