NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.
Question 2 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 3 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.
Question 4 of 5
Which diagnostic procedure does the nurse anticipate being ordered for the 27-year-old female client who is reporting irregular menses and complaining of lower left abdominal pain during menses?
Correct Answer: A
Rationale: A pelvic sonogram evaluates pelvic pathology (e.g., ovarian cysts, endometriosis) causing irregular menses and pain, the most likely test.
Question 5 of 5
The client comes to the clinic complaining of itching on the left wrist near a wristwatch. The nurse notes an erythematous area along with pruritic vesicles around the left wrist. Which condition should the nurse suspect?
Correct Answer: A
Rationale: Itching, erythema, and vesicles near a wristwatch suggest contact dermatitis, likely from nickel allergy.