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 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 3 of 5
The nurse is caring for a client who is a recent immigrant to the country. The family is present in the room and one member of the family speaks English. Which should the nurse implement to complete the admission assessment?
Correct Answer: D
Rationale: Using a medical interpreter ensures accurate, confidential communication, per standards. Family interpreting risks bias, gestures are inadequate, and notifying HCP avoids responsibility.
Question 4 of 5
Which intervention should the nurse implement when discussing health promotion activities for a client with a German heritage who leads a sedentary lifestyle?
Correct Answer: C
Rationale: A sedentary lifestyle increases cardiovascular risks; identifying an exercise program promotes health, tailored to the client’s needs. Support groups, alcohol abstinence, and food restrictions are less prioritized without specific indications.
Question 5 of 5
The client diagnosed with end-stage congestive heart failure is being cared for by the home health nurse. Which intervention should the nurse teach the caregiver?
Correct Answer: B
Rationale: Weight gain >3 lb/week indicates fluid retention in CHF, requiring HCP notification to adjust therapy.