NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client is admitted to the medical unit complaining of severe abdominal pain. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Assessing for complications (e.g., perforation) is the first step in severe abdominal pain, per nursing process.
Question 2 of 5
The nurse is planning the care for the client with multiple stage IV pressure ulcers. Which complication results from these pressure ulcers?
Correct Answer: B
Rationale: Stage IV pressure ulcers expose bone, risking osteomyelitis (bone infection), a severe complication.
Question 3 of 5
The male client tells the nurse that he has been using acupuncture to control his chronic back pain. Which is the nurse's best response?
Correct Answer: B
Rationale: Asking about pain pre- and post-acupuncture assesses its effectiveness, supporting patient-centered care. Insurance discussion, needle sterilization (done by professionals), or suggesting alternatives is less relevant.
Question 4 of 5
The client diagnosed with chronic renal failure is receiving peritoneal dialysis. Which assessment by the nurse warrants immediate intervention?
Correct Answer: A
Rationale: Cloudy dialysate suggests peritonitis, a serious complication requiring immediate intervention.
Question 5 of 5
The nurse is preparing the plan of care for the client diagnosed with migraine headaches. Which information regarding complementary therapies should the nurse include in this plan?
Correct Answer: D
Rationale: Aromatic oils may trigger migraines; avoiding them is key in complementary therapy for migraine management. Therapeutic touch, autogenic therapy, and massage are less specific.