NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The 24-year-old African American female client tells the nurse she has a brother with sickle cell disease. She is engaged to be married and is concerned about giving this disease to her future children. Which information is most important to provide to the client?
Correct Answer: C
Rationale: Genetic counseling assesses carrier status and risks for sickle cell disease, the most proactive step.
Question 2 of 5
The client is admitted to the intensive care unit diagnosed with rule-out adult respiratory distress syndrome (ARDS). The client is receiving 10 L/min of oxygen via nasal cannula. Which arterial blood gases indicate the client does not have ARDS?
Correct Answer: A
Rationale: Normal ABGs (pH 7.38, PaO2 82) rule out ARDS, which causes severe hypoxemia (PaO2 <60).
Question 3 of 5
The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?
Correct Answer: B
Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.
Question 4 of 5
The client with type 1 diabetes asks the nurse, 'What causes me to get dehydrated when my glucose level is elevated?' Which statement would be the nurse's best response?
Correct Answer: B
Rationale: Hyperglycemia causes osmotic diuresis, pulling fluid from tissues, leading to dehydration.
Question 5 of 5
The client expresses anxiety prior to an upcoming procedure. Which should the nurse implement first to assist the client?
Correct Answer: C
Rationale: Slow deep breathing is a non-invasive, immediate anxiety reduction technique. Sedatives, family notification, or dismissing concerns are secondary or unhelpful.