NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client diagnosed with a transient ischemic attack (TIA) is being discharged from the hospital. Which medication should the nurse expect the HCP to prescribe?
Correct Answer: B
Rationale: Aspirin prevents platelet aggregation, reducing stroke risk post-TIA, per AHA guidelines.
Question 2 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 3 of 5
Which assessment data indicate to the nurse the client with diarrhea is experiencing a complication?
Correct Answer: C
Rationale: Tented turgor indicates dehydration, a serious diarrhea complication, requiring immediate intervention.
Question 4 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 5 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.