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 and the unlicensed assistive personnel are performing postmortem care on a client. Two (2) of the family members are seen laughing about a memory of the client. What explanation of this behavior would be best for the nurse to give the unlicensed assistive personnel?
Correct Answer: C
Rationale: Laughter about memories is a coping mechanism for grief, per cultural and psychological norms. Assuming lack of love, inappropriateness, or lack of education is judgmental.
Question 3 of 5
The 25-year-old client who has a C6 spinal cord injury is crying and asks the nurse, 'Why did I have to survive? I wish I was dead.' Which statement is the nurse's best response?
Correct Answer: D
Rationale: A therapeutic response acknowledges feelings and invites discussion, supporting the client’s emotional needs.
Question 4 of 5
The client has a fractured right tibia. Which assessment data warrant immediate intervention?
Correct Answer: C
Rationale: A cold foot suggests vascular compromise (e.g., compartment syndrome), requiring immediate intervention to prevent tissue damage.
Question 5 of 5
The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.