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ATI NCLEX-PN Practice Questions Questions

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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 25-year-old client who has a C6 spinal cord injury is crying and asks the nurse, 'Why did I have to survive? I wish I was dead.' Which statement is the nurse's best response?

Correct Answer: D

Rationale: A therapeutic response acknowledges feelings and invites discussion, supporting the client’s emotional needs.

Question 3 of 5

The client is complaining of acute abdominal pain, and the next pain medication is not due for two (2) hours. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Notify the health-care provider to increase pain medication.
Auscultate for bowel sounds and palpate the abdomen.
Instruct the client to visualize a pleasant memory.
Turn on the radio to soft, easy-listening music.
Offer the client a therapeutic back massage.

Correct Answer: B,C,E,D,A

Rationale: 1) Auscultate/palpate abdomen (assess for complications like obstruction); 2) Visualize pleasant memory (guided imagery for pain); 3) Offer back massage (nonpharmacological relief); 4) Play soft music (enhances relaxation); 5) Notify HCP (if pain persists or worsens).

Question 4 of 5

The elderly female client of Mexican heritage is upset and tells the nurse the unlicensed assistive personnel (UAP) complimented her grandchild's hair. Which intervention should the nurse implement?

Correct Answer: D

Rationale: In Mexican culture, complimenting a child may be linked to 'mal de ojo' (evil eye), causing distress. Educating the UAP about this belief prevents further upset. Asking why, ignoring, or notifying a psychologist does not address cultural sensitivity.

Question 5 of 5

The nurse is caring for a client in the rehabilitation unit who is hearing impaired, is anxious, and has elevated blood pressure. The client enjoys pet therapy but is allergic to dogs and cats. Which intervention should the nurse implement?

Correct Answer: D

Rationale: A fish in a bowl provides a calming, visual form of pet therapy without allergy risks. Antihistamines pose risks, extra visits don’t address pet therapy, and a radio is unrelated.

Similar Questions

The client diagnosed with a brain tumor who had radiation treatment and developed alopecia asks, 'When will my hair grow back?' Which statement is the nurse's best response?
Which information would be most important for the public health department nurse to obtain before giving the client condoms?
The female client with a cold is prescribed warfarin (Coumadin), an anticoagulant, for chronic atrial fibrillation. The client calls the clinic and tells the nurse she is bleeding and bruising more than normal. Which information indicates a need for further teaching?
Which comment by the client diagnosed with rule-out Guillain-Barré (GB) syndrome is most significant when completing the admission interview?
The client with a deficiency of the immune system questions the nurse about the use of ginseng. Which information should the nurse teach the client?

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