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 the plan of care for the client diagnosed with migraine headaches. Which information regarding complementary therapies should the nurse include in this plan?
Correct Answer: D
Rationale: Aromatic oils may trigger migraines; avoiding them is key in complementary therapy for migraine management. Therapeutic touch, autogenic therapy, and massage are less specific.
Question 3 of 5
The nurse is providing preoperative teaching about pain management techniques for the client having surgery. The client has a history of drug abuse. What should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Complementary therapies (e.g., guided imagery) supplement medications, ensuring adequate pain control without over-reliance on drugs, considering abuse history. Assumptions, replacing medications, or doubling doses are unsafe.
Question 4 of 5
Which client should the charge nurse of the day surgery unit assign to a new graduate nurse in orientation?
Correct Answer: D
Rationale: The myelogram client is stable, suitable for a new graduate, unlike hypotensive, confused, or ICU-bound clients requiring advanced skills.
Question 5 of 5
The telemetry nurse is monitoring the following clients. Which client should the telemetry nurse instruct the primary nurse to assess first?
Correct Answer: C
Rationale: Multifocal PVCs post-MI indicate higher arrhythmia risk, requiring urgent assessment, per ACLS guidelines.