NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client is being admitted into the hospital with a diagnosis of pneumonia. Which HCP order should the nurse implement first?
Correct Answer: B
Rationale: Sputum culture identifies the causative organism, guiding antibiotic therapy, and must be collected before antibiotics.
Question 2 of 5
The client expresses anxiety prior to an upcoming procedure. Which should the nurse implement first to assist the client?
Correct Answer: C
Rationale: Slow deep breathing is a non-invasive, immediate anxiety reduction technique. Sedatives, family notification, or dismissing concerns are secondary or unhelpful.
Question 3 of 5
Which laboratory result warrants immediate intervention by the nurse for the female client diagnosed with systemic lupus erythematosus (SLE)?
Correct Answer: D
Rationale: Elevated WBC (15,000) suggests infection or flare in SLE, requiring immediate intervention due to immunosuppression.
Question 4 of 5
The client has sustained severe burns on both the anterior right and left leg and the anterior chest and abdomen. According to the rule of nines, what percentage of the body has been burned?
Correct Answer: 36
Rationale: Rule of nines: anterior legs (9% each = 18%), anterior chest/abdomen (18%) = 18% + 18% = 36%.
Question 5 of 5
Which assessment data indicate to the nurse the client with diarrhea is experiencing a complication?
Correct Answer: C
Rationale: Tented turgor indicates dehydration, a serious diarrhea complication, requiring immediate intervention.