NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.
Question 2 of 5
The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?
Correct Answer: 170
Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.
Question 3 of 5
The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?
Correct Answer: B
Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.
Question 4 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 5 of 5
The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?
Correct Answer: A
Rationale: Notifying the team and charting the refusal respects the client’s Jehovah’s Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.