NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?
Correct Answer: B
Rationale: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.
Question 2 of 5
The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which intervention should have priority in the client's plan of care?
Correct Answer: A
Rationale: Sperm banking is the priority pre-orchiectomy to preserve fertility, especially in young clients, per oncology guidelines.
Question 3 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 4 of 5
The 44-year-old female client calls the clinic and tells the nurse she felt a lump while performing breast self-examination (BSE). Which question should the nurse ask the client?
Correct Answer: C
Rationale: The timing of the last menstrual period helps correlate the lump with hormonal changes, which can cause benign cysts, guiding further evaluation.
Question 5 of 5
The telemetry nurse is monitoring the following clients. Which client should the telemetry nurse instruct the primary nurse to assess first?
Correct Answer: C
Rationale: Multifocal PVCs post-MI indicate higher arrhythmia risk, requiring urgent assessment, per ACLS guidelines.