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
The client diagnosed with end-stage congestive heart failure is being cared for by the home health nurse. Which intervention should the nurse teach the caregiver?
Correct Answer: B
Rationale: Weight gain >3 lb/week indicates fluid retention in CHF, requiring HCP notification to adjust therapy.
Question 3 of 5
The nurse is assessing the client with psoriasis. Which data support this diagnosis?
Correct Answer: A
Rationale: Psoriasis presents as red plaques with silvery scales, the hallmark clinical finding.
Question 4 of 5
The student nurse accidentally punctured her finger with a contaminated needle. Which action should the student nurse take first?
Correct Answer: B
Rationale: Allowing the site to bleed reduces pathogen load, the first step in needlestick protocol.
Question 5 of 5
The client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.