NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client diagnosed with neurogenic diabetes insipidus (DI) asks the nurse, 'What is wrong with me? Why do I urinate so much?' Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: Neurogenic DI results from ADH deficiency due to pituitary dysfunction, causing polyuria.
Question 2 of 5
The Mexican client requests a curandero to come to the hospital to visit. Which statement explains the role of the curandero in the Mexican culture?
Correct Answer: D
Rationale: A curandero is a traditional Mexican healer believed to have a divine gift, treating illnesses holistically. Massage, herbs, or witchcraft are roles of other practitioners (e.g., sobador, yerbero, brujo).
Question 3 of 5
The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?
Correct Answer: D
Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.
Question 4 of 5
The client expresses anxiety prior to an upcoming procedure. Which should the nurse implement first to assist the client?
Correct Answer: C
Rationale: Slow deep breathing is a non-invasive, immediate anxiety reduction technique. Sedatives, family notification, or dismissing concerns are secondary or unhelpful.
Question 5 of 5
The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?
Correct Answer: B
Rationale: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.