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 public health nurse is discussing hepatitis with a client who is traveling to a third world country in one (1) month. Which recommendation should the nurse discuss with the client?
Correct Answer: B
Rationale: Hepatitis A vaccination prevents fecal-oral transmission, common in developing countries, per CDC travel guidelines.
Question 3 of 5
The client using contraceptive foam for birth control has not had her menses for two (2) months. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Amenorrhea for two months with contraceptive foam (less effective than other methods) suggests possible pregnancy, requiring a pregnancy test first. Vaginal exam, urine analysis, and vital signs are secondary.
Question 4 of 5
The client has a fractured right tibia. Which assessment data warrant immediate intervention?
Correct Answer: C
Rationale: A cold foot suggests vascular compromise (e.g., compartment syndrome), requiring immediate intervention to prevent tissue damage.
Question 5 of 5
The nurse arranges for a dance movement therapist to lead a group session for clients with osteoarthritis. Which statement best describes the rationale for this intervention?
Correct Answer: D
Rationale: Dance therapy promotes endorphin release, reducing pain perception in osteoarthritis. Bonding is secondary, synovial fluid increase is inaccurate, and pain reduction is less direct.