NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The 85-year-old client diagnosed with severe end-stage chronic obstructive pulmonary disease has a chest x-ray incidentally revealing an eight (8)-cm abdominal aortic aneurysm (AAA). Which intervention should the nurse implement?
Correct Answer: A
Rationale: An 8-cm AAA in an elderly COPD patient has high rupture risk; end-of-life discussions are appropriate given surgical risks.
Question 2 of 5
The unlicensed assistive personnel asked the wound care nurse why a client has cabbage leaves on the wound. Which statement would be the best response by the nurse?
Correct Answer: A
Rationale: Cabbage leaves have documented anti-inflammatory properties, used in folk medicine. Calling it ignorance, placebo, or only moisture is dismissive or inaccurate.
Question 3 of 5
The female client with a cold is prescribed warfarin (Coumadin), an anticoagulant, for chronic atrial fibrillation. The client calls the clinic and tells the nurse she is bleeding and bruising more than normal. Which information indicates a need for further teaching?
Correct Answer: A
Rationale: Echinacea may interact with warfarin, increasing bleeding risk, indicating a need for teaching about herb-drug interactions. Monthly INR, acetaminophen (safe with warfarin), and label reading are appropriate.
Question 4 of 5
The client is using acupuncture to help relieve severe back pain. Which client problem would the home health nurse identify in the plan of care?
Correct Answer: B
Rationale: Acupuncture carries a small risk of infection from unsterile needles, a valid care plan problem. Paralysis, AIDS, or non-resolution are not primary concerns with professional acupuncture.
Question 5 of 5
The nurse is preparing the client newly diagnosed with asthma for discharge. Which data indicate the teaching about the peak flowmeter has been effective?
Correct Answer: D
Rationale: Red zone requires quick-relief medication and no exercise, indicating correct peak flowmeter use.