NCLEX RN Practice Questions With Rationale - Nurselytic

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NCLEX RN Practice Questions With Rationale Questions

Extract:


Question 1 of 5

At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states, "My blood pressure is usually much lower."? The nurse should tell the client to:

Correct Answer: A

Rationale: The blood pressure reading of 160/96 mmHg is moderately high, indicating hypertension. Given that the client mentions their blood pressure is usually lower, there is concern for acute complications like a stroke.
Therefore, an immediate reassessment of the blood pressure within the next 15 minutes is warranted to confirm the reading and take appropriate actions if necessary. Waiting for two months (
Choice
B) or a week (
Choice
D) could pose risks of delaying intervention. Seeing the healthcare provider immediately (
Choice
C) is a good option, but in this case, the urgency is not as high as to require immediate attention at the healthcare provider's office.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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