NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
After evaluating the meal tray of a Jewish client, the nurse notices the client ate none of the meal. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Determining why the client isn’t eating (e.g., kosher dietary needs, appetite) guides appropriate action, such as requesting a kosher meal. Family involvement, rabbi notification, or dietary requests are premature.
Question 2 of 5
The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?
Correct Answer: 75
Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.
Question 3 of 5
The client diagnosed with non-Hodgkin's lymphoma tells the nurse, 'I am so tired. I just wish I could die.' Which stage of the grieving process does this statement represent?
Correct Answer: D
Rationale: Wishing to die reflects acceptance in Kübler-Ross’s grieving stages, common in terminal illness.
Question 4 of 5
The client who has just received a permanent pacemaker is admitted to the telemetry floor. The nurse writes the problem 'knowledge deficit.' Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Avoiding electrical devices, carrying ID, monitoring pulse, and reporting bradycardia ensure pacemaker safety.
Question 5 of 5
The client has gastroesophageal reflux disease. Which HCP order should the nurse question?
Correct Answer: B
Rationale: Protonix is typically once daily for GERD; four times daily is excessive, warranting clarification.