NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
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 2 of 5
Which psychosocial client problem should the nurse write for the client diagnosed with cancer of the lung and metastasis to the brain?
Correct Answer: B
Rationale: Grieving is the priority psychosocial problem in terminal cancer with metastasis, per Kübler-Ross.
Question 3 of 5
The client with severe itching from an insect bite calls the clinic and asks the nurse, 'What do I need to do for the itching?' Which intervention should the nurse implement for the client problem of alteration in comfort?
Correct Answer: B
Rationale: Benadryl gel (diphenhydramine) relieves itching effectively, applied PRN. Tylenol/aspirin don’t target itching, hot water may worsen it, and hydrocortisone every 2 hours is excessive.
Question 4 of 5
The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?
Correct Answer: D
Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.
Question 5 of 5
The client with venous insufficiency tells the nurse, 'The doctor just told me about my disease and walked out of the room. What am I supposed to do?' Which statement is the nurse's best response?
Correct Answer: B
Rationale: Leg elevation reduces edema in venous insufficiency, a practical teaching point addressing the client’s question.