NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The 44-year-old female client calls the clinic and tells the nurse she felt a lump while performing breast self-examination (BSE). Which question should the nurse ask the client?
Correct Answer: C
Rationale: The timing of the last menstrual period helps correlate the lump with hormonal changes, which can cause benign cysts, guiding further evaluation.
Question 2 of 5
The unlicensed assistive personnel (UAP) empties the indwelling urinary catheter for a client who is four (4) hours postoperative transurethral resection of the prostate and informs the nurse the urine is red with some clots. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Assessing urine output confirms hematuria extent and patency, the first step post-TURP.
Question 3 of 5
The client is diagnosed with aortic stenosis. Which assessment data indicate a complication is occurring?
Correct Answer: C
Rationale: Pink, frothy sputum and DOE suggest pulmonary edema, a complication of aortic stenosis due to heart failure.
Question 4 of 5
The client using contraceptive foam for birth control has not had her menses for two (2) months. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Amenorrhea for two months with contraceptive foam (less effective than other methods) suggests possible pregnancy, requiring a pregnancy test first. Vaginal exam, urine analysis, and vital signs are secondary.
Question 5 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.