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 client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.
Question 3 of 5
Which psychosocial problem should the nurse identify as priority for a client diagnosed with rheumatoid arthritis?
Correct Answer: A
Rationale: Chronic pain (alteration in comfort) is the priority in RA, impacting daily function, per Maslow.
Question 4 of 5
The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Obesity (BMI ~38) and hypertension (154/98) are health risks; discussing weight loss addresses these priorities. Loud speech may be cultural, not anger; extended eye contact may be disrespectful; and discussing care with family requires consent.
Question 5 of 5
Which information should the nurse discuss with the client to prevent an acute exacerbation of diverticulosis?
Correct Answer: A
Rationale: High fiber prevents diverticulosis exacerbations by promoting regular bowel movements, per AGA guidelines.