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 nurse arranges for a dance movement therapist to lead a group session for clients with osteoarthritis. Which statement best describes the rationale for this intervention?
Correct Answer: D
Rationale: Dance therapy promotes endorphin release, reducing pain perception in osteoarthritis. Bonding is secondary, synovial fluid increase is inaccurate, and pain reduction is less direct.
Question 3 of 5
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?
Correct Answer: A
Rationale: Echinacea may interact with warfarin, increasing bleeding risk, indicating a need for teaching about herb-drug interactions. Monthly INR, acetaminophen (safe with warfarin), and label reading are appropriate.
Question 4 of 5
The primary nurse is applying antiembolism hose to the client who had a total hip replacement. Which situation warrants immediate intervention by the charge nurse?
Correct Answer: C
Rationale: Wrinkles in antiembolism hose can cause skin breakdown or impaired circulation, requiring immediate correction.
Question 5 of 5
The client who has just received a permanent pacemaker is admitted to the telemetry floor. The nurse writes the problem 'knowledge deficit.' Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Avoiding electrical devices, carrying ID, monitoring pulse, and reporting bradycardia ensure pacemaker safety.