NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client diagnosed with stomach cancer has developed disseminated intravascular coagulopathy (DIC). Which collaborative intervention should the nurse expect to implement?
Correct Answer: A
Rationale: Heparin prevents further clotting in DIC, a standard collaborative intervention, per ISTH guidelines.
Question 2 of 5
The unlicensed assistive personnel (UAP) notifies the nurse the client diagnosed with chronic obstructive pulmonary disease is complaining of shortness of breath and would like his oxygen level increased. Which intervention should the nurse implement?
Correct Answer: C
Rationale: A pulse oximeter reading assesses oxygenation status, guiding whether oxygen adjustment is needed.
Question 3 of 5
The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?
Correct Answer: C
Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.
Question 4 of 5
The client is performing breast self-examination (BSE) by the American Cancer Society's recommended steps and has completed palpating the breast. Which step is next when completing the BSE?
Correct Answer: A
Rationale: After palpation, visual inspection in a mirror detects skin changes, the next ACS BSE step.
Question 5 of 5
The client has gastroesophageal reflux disease. Which HCP order should the nurse question?
Correct Answer: B
Rationale: Protonix is typically once daily for GERD; four times daily is excessive, warranting clarification.