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 nurse is preparing the client newly diagnosed with asthma for discharge. Which data indicate the teaching about the peak flowmeter has been effective?
Correct Answer: D
Rationale: Red zone requires quick-relief medication and no exercise, indicating correct peak flowmeter use.
Question 3 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.
Question 4 of 5
The female client with a cold is prescribed warfarin (Coumadin), an anticoagulant, for chronic atrial fibrillation. The client calls the clinic and tells the nurse she is bleeding and bruising more than normal. Which information indicates a need for further teaching?
Correct Answer: A
Rationale: Echinacea may interact with warfarin, increasing bleeding risk, indicating a need for teaching about herb-drug interactions. Monthly INR, acetaminophen (safe with warfarin), and label reading are appropriate.
Question 5 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.