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ATI NCLEX-PN Practice Questions Questions

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Question 1 of 5

The client comes to the emergency department complaining of pain in the right forearm. The nurse notes a large area of redness and edema over the forearm, and the client has an elevated temperature. Which condition should the nurse suspect?

Correct Answer: A

Rationale: Redness, edema, and fever suggest cellulitis, a bacterial skin infection, the most likely diagnosis.

Question 2 of 5

The 33-year-old client had a traumatic amputation of the right forearm as a result of a work-related injury. Which referral by the rehabilitation nurse is most appropriate?

Correct Answer: B

Rationale: An occupational therapist helps with ADLs and prosthetic use post-amputation, the most relevant referral.

Question 3 of 5

The client is complaining of acute abdominal pain, and the next pain medication is not due for two (2) hours. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Notify the health-care provider to increase pain medication.
Auscultate for bowel sounds and palpate the abdomen.
Instruct the client to visualize a pleasant memory.
Turn on the radio to soft, easy-listening music.
Offer the client a therapeutic back massage.

Correct Answer: B,C,E,D,A

Rationale: 1) Auscultate/palpate abdomen (assess for complications like obstruction); 2) Visualize pleasant memory (guided imagery for pain); 3) Offer back massage (nonpharmacological relief); 4) Play soft music (enhances relaxation); 5) Notify HCP (if pain persists or worsens).

Question 4 of 5

The client diagnosed with cancer of the larynx has had a partial laryngectomy. Which client problem has the highest priority?

Correct Answer: C

Rationale: Risk for aspiration is the priority post-laryngectomy due to airway alteration, a life-threatening concern.

Question 5 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.

Similar Questions

The unlicensed assistive personnel (UAP) notices a strange amulet pinned to the client's gown and offers to remove it. The client does not want it removed. Which rationale should the nurse give the UAP for allowing the client to continue to wear the amulet?
The client is admitted to the intensive care unit diagnosed with rule-out adult respiratory distress syndrome (ARDS). The client is receiving 10 L/min of oxygen via nasal cannula. Which arterial blood gases indicate the client does not have ARDS?
The client asks the nurse about using herbs and special teas to decrease blood pressure. Which question is most important for the nurse to consider before addressing the client's concerns?
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?
The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?

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