NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client who has just received a permanent pacemaker is admitted to the telemetry floor. The nurse writes the problem 'knowledge deficit.' Which interventions should be included in the plan of care? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Avoiding electrical devices, carrying ID, monitoring pulse, and reporting bradycardia ensure pacemaker safety.
Question 2 of 5
The client asks the nurse about using herbs and special teas to decrease blood pressure. Which question is most important for the nurse to consider before addressing the client's concerns?
Correct Answer: B
Rationale: Safety is the priority when considering herbs/teas, as they may interact with medications or worsen hypertension. Cost, knowledge, and scope are secondary.
Question 3 of 5
The elderly female client of Mexican heritage is upset and tells the nurse the unlicensed assistive personnel (UAP) complimented her grandchild's hair. Which intervention should the nurse implement?
Correct Answer: D
Rationale: In Mexican culture, complimenting a child may be linked to 'mal de ojo' (evil eye), causing distress. Educating the UAP about this belief prevents further upset. Asking why, ignoring, or notifying a psychologist does not address cultural sensitivity.
Question 4 of 5
Which information would be most important for the public health department nurse to obtain before giving the client condoms?
Correct Answer: C
Rationale: Latex allergies can cause severe reactions, making it critical to assess before providing condoms. Frequency, preferences, and history are secondary.
Question 5 of 5
The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?
Correct Answer: A
Rationale: Notifying the team and charting the refusal respects the client’s Jehovah’s Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.