NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
According to the nursing process, which interventions should the nurse implement when caring for a client diagnosed with a right-sided cerebrovascular accident (stroke) and who has difficulty swallowing? List the interventions in order of the nursing process.
Correct Answer: B,A,C,D,E
Rationale: 1) Assess LOC/speech (assessment); 2) Write problem (diagnosis); 3) Request diet (planning); 4) Instruct HOB elevation (implementation); 5) Note food intake (evaluation).
Question 2 of 5
The nurse is assisting the client diagnosed with chronic pain to identify methods of complementary and alternative medicine (CAM). Which would indicate an expected outcome was achieved?
Correct Answer: D
Rationale: Performing ADLs without pain indicates effective CAM, improving function. Bed rest, increased pain, or routine medication are not CAM-specific outcomes.
Question 3 of 5
The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?
Correct Answer: A
Rationale: Purple, round marks suggest cupping, a traditional therapy for respiratory issues, common in some cultures. Bruising, abuse, or client causation are less likely without evidence.
Question 4 of 5
The nurse is teaching the client how to use guided imagery. Which information would indicate the teaching has been effective?
Correct Answer: D
Rationale: Visualizing a favorite place is a core component of guided imagery, indicating effective teaching. Chanting, arm rubbing, and music selection are not specific to guided imagery.
Question 5 of 5
The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.