NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client calls the clinic first thing in the morning and tells the nurse, 'I have been vomiting and having diarrhea since last night.' Which response is appropriate for the nurse to make?
Correct Answer: D
Rationale: A clear liquid diet prevents dehydration in acute vomiting/diarrhea, a safe initial recommendation.
Question 2 of 5
The nurse is planning the care for the client with multiple stage IV pressure ulcers. Which complication results from these pressure ulcers?
Correct Answer: B
Rationale: Stage IV pressure ulcers expose bone, risking osteomyelitis (bone infection), a severe complication.
Question 3 of 5
The elderly female client of Mexican heritage is upset and tells the nurse the unlicensed assistive personnel (UAP) complimented her grandchild's hair. Which intervention should the nurse implement?
Correct Answer: D
Rationale: In Mexican culture, complimenting a child may be linked to 'mal de ojo' (evil eye), causing distress. Educating the UAP about this belief prevents further upset. Asking why, ignoring, or notifying a psychologist does not address cultural sensitivity.
Question 4 of 5
Which intervention will help prevent the nurse from being sued for malpractice throughout his or her professional practice?
Correct Answer: A
Rationale: Accurate documentation provides evidence of care, the primary defense against malpractice claims.
Question 5 of 5
Which assessment data indicate to the nurse the client has a conductive hearing loss?
Correct Answer: C
Rationale: Weber test lateralizing to the affected ear indicates conductive hearing loss, per otology standards.