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
Which action by the unlicensed assistive personnel (UAP) requires intervention by the nurse?
Correct Answer: D
Rationale: Wiping back to front risks UTI, requiring intervention; other actions are appropriate.
Question 3 of 5
The nurse is teaching a 28-year-old client who was recently prescribed birth control pills. Which statement by the client indicates teaching has been effective?
Correct Answer: A
Rationale: Antibiotics (e.g., rifampin) reduce oral contraceptive efficacy, requiring backup methods, indicating effective teaching. Missing pills, patch preference, or ring replacement are incorrect.
Question 4 of 5
Which expected outcome should be included in the plan of care for a postoperative client practicing guided imagery?
Correct Answer: B
Rationale: Guided imagery reduces pain perception, so a decreased pain score is the expected outcome. WBC count, urine output, and dressing drainage are unrelated.
Question 5 of 5
The nurse is initiating a blood transfusion. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,E
Rationale: Lung assessment monitors for transfusion reactions, consent ensures informed care, and order verification confirms accuracy.