NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client diagnosed with chronic renal failure is receiving peritoneal dialysis. Which assessment by the nurse warrants immediate intervention?
Correct Answer: A
Rationale: Cloudy dialysate suggests peritonitis, a serious complication requiring immediate intervention.
Question 2 of 5
The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?
Correct Answer: A
Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.
Question 3 of 5
The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.
Question 4 of 5
Which psychosocial client problem should the nurse write for the client diagnosed with cancer of the lung and metastasis to the brain?
Correct Answer: B
Rationale: Grieving is the priority psychosocial problem in terminal cancer with metastasis, per Kübler-Ross.
Question 5 of 5
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?
Correct Answer: A
Rationale: Notifying the team and charting the refusal respects the client’s Jehovah’s Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.