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
Which form of complementary therapy should the nurse encourage as a relaxation technique for the anxious elderly client admitted for surgery?
Correct Answer: B
Rationale: Deep breathing is a simple, effective relaxation technique for elderly clients, reducing anxiety pre-surgery. Meditation may be complex, Rolfing is physical manipulation, and scented candles pose fire risks.
Question 3 of 5
The client with a deficiency of the immune system questions the nurse about the use of ginseng. Which information should the nurse teach the client?
Correct Answer: C
Rationale: Ginseng should not be used continuously (>2 months) due to risks like hypertension or insomnia, especially in immunocompromised clients. Daily dosing, caffeine, or no contraindications are inaccurate.
Question 4 of 5
The client diagnosed with chronic renal failure is receiving peritoneal dialysis. Which assessment by the nurse warrants immediate intervention?
Correct Answer: A
Rationale: Cloudy dialysate suggests peritonitis, a serious complication requiring immediate intervention.
Question 5 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.