NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client had abdominal surgery and is receiving bag #5 of total parenteral nutrition (TPN) via a subclavian line infusing at 126 mL/hr. The nurse realizes bag #6 is not on the unit and TPN bag #5 has 50 mL left to infuse. Which intervention should the nurse implement?
Correct Answer: D
Rationale: D10W maintains glucose stability until TPN arrives, preventing hypoglycemia in TPN-dependent clients.
Question 2 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.
Question 3 of 5
The nurse and the unlicensed assistive personnel (UAP) are caring for a client who is anxious. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Giving a back rub is a non-invasive, supportive task within UAP scope, reducing anxiety. Teaching, listening, and guided imagery require nursing judgment.
Question 4 of 5
The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?
Correct Answer: 75
Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.
Question 5 of 5
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task could be delegated to the UAP?
Correct Answer: C
Rationale: Routine vital sign collection is within UAP scope, unlike post-medication BP, HCP notification, or lab discussions.