NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?
Correct Answer: 170
Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.
Question 2 of 5
When interviewing the client of Hindu heritage, which information should the nurse obtain to plan culturally sensitive care?
Correct Answer: B
Rationale: Ayurveda, common in Hindu culture, may influence health practices (e.g., herbs, diet), guiding culturally sensitive care. Advance directives, interpreters, and allergies are general, not Hindu-specific.
Question 3 of 5
Which intervention should the circulating nurse implement for the preoperative elderly client who is anxious and diaphoretic?
Correct Answer: A
Rationale: Soft, slow music reduces anxiety and promotes relaxation in the OR, safe for an elderly client. Rapid breaths worsen anxiety, talking may not suffice, and opening doors breaks asepsis.
Question 4 of 5
The unlicensed assistive personnel asked the wound care nurse why a client has cabbage leaves on the wound. Which statement would be the best response by the nurse?
Correct Answer: A
Rationale: Cabbage leaves have documented anti-inflammatory properties, used in folk medicine. Calling it ignorance, placebo, or only moisture is dismissive or inaccurate.
Question 5 of 5
Which psychosocial problem should the nurse identify as priority for a client diagnosed with rheumatoid arthritis?
Correct Answer: A
Rationale: Chronic pain (alteration in comfort) is the priority in RA, impacting daily function, per Maslow.