NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is preparing a teaching plan for a client diagnosed with chronic stress. Which information should the nurse include in the teaching care plan? Select all that apply.
Correct Answer: A,B,E
Rationale: Discussing stress-illness links, defining terms, and providing resources empower the client. Nurse’s personal methods are anecdotal, and TCM referral is specific without indication.
Question 3 of 5
The male client is wearing a silver amulet to protect from evil spirits. Which action should the nurse take when sending the client to surgery?
Correct Answer: D
Rationale: Taping the amulet respects the client’s spiritual beliefs while ensuring safety in the OR, per patient-centered care. Removing, sending home, or questioning beliefs is less sensitive.
Question 4 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 5 of 5
Which problem is priority for the 24-year-old client diagnosed with endometriosis who is admitted to the gynecological unit?
Correct Answer: B
Rationale: Pain is the priority in endometriosis due to severe dysmenorrhea and pelvic discomfort, per Maslow’s hierarchy, impacting quality of life.