NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which intervention should have priority in the client's plan of care?
Correct Answer: A
Rationale: Sperm banking is the priority pre-orchiectomy to preserve fertility, especially in young clients, per oncology guidelines.
Question 2 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.
Question 3 of 5
The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?
Correct Answer: 170
Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.
Question 4 of 5
The nurse is caring for a client in the rehabilitation unit who is hearing impaired, is anxious, and has elevated blood pressure. The client enjoys pet therapy but is allergic to dogs and cats. Which intervention should the nurse implement?
Correct Answer: D
Rationale: A fish in a bowl provides a calming, visual form of pet therapy without allergy risks. Antihistamines pose risks, extra visits don’t address pet therapy, and a radio is unrelated.
Question 5 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.