NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 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
Which assessment data indicate the client has developed a deep vein thrombosis (DVT) in the left leg?
Correct Answer: B
Rationale: Increased calf circumference suggests DVT due to swelling from clot-related obstruction.
Question 4 of 5
The client receiving a continuous heparin drip complains of sudden chest pain on inspiration and tells the nurse, 'Something is really wrong with me.' Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Sudden pleuritic chest pain suggests pulmonary embolism, a heparin complication; assessing lung sounds is the first step.
Question 5 of 5
Which intervention should the circulating nurse implement for the preoperative elderly client who is anxious and diaphoretic?
Correct Answer: A
Rationale: Soft, slow music reduces anxiety and promotes relaxation in the OR, safe for an elderly client. Rapid breaths worsen anxiety, talking may not suffice, and opening doors breaks asepsis.