NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client receiving a continuous heparin drip complains of sudden chest pain on inspiration and tells the nurse, 'Something is really wrong with me.' Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Sudden pleuritic chest pain suggests pulmonary embolism, a heparin complication; assessing lung sounds is the first step.
Question 2 of 5
The client diagnosed with a brain tumor who had radiation treatment and developed alopecia asks, 'When will my hair grow back?' Which statement is the nurse's best response?
Correct Answer: C
Rationale: Radiation-induced alopecia may be permanent or take months to regrow, depending on dose; honesty prepares the client.
Question 3 of 5
The nurse is incorporating complementary therapies in the routines of residents of a long-term care facility. Which information should the nurse consider when matching the clients with the therapy? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Matching therapies requires considering client preferences, likes/dislikes, therapy benefits, and physical/mental abilities for effectiveness and adherence. Significant other’s concerns are secondary unless they impact care.
Question 4 of 5
Which assessment information is the most critical indicator of a neurological deficit?
Correct Answer: B
Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.
Question 5 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.