NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client with severe itching from an insect bite calls the clinic and asks the nurse, 'What do I need to do for the itching?' Which intervention should the nurse implement for the client problem of alteration in comfort?
Correct Answer: B
Rationale: Benadryl gel (diphenhydramine) relieves itching effectively, applied PRN. Tylenol/aspirin don’t target itching, hot water may worsen it, and hydrocortisone every 2 hours is excessive.
Question 2 of 5
The client diagnosed with cancer of the larynx has had a partial laryngectomy. Which client problem has the highest priority?
Correct Answer: C
Rationale: Risk for aspiration is the priority post-laryngectomy due to airway alteration, a life-threatening concern.
Question 3 of 5
The client diagnosed with Stage IV prostate cancer is receiving chemotherapy. Which laboratory value should the nurse assess prior to administering the chemotherapy?
Correct Answer: C
Rationale: CBC assesses bone marrow suppression (e.g., neutropenia, anemia), a chemotherapy risk, ensuring safe administration.
Question 4 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 5 of 5
The client is admitted to the intensive care unit diagnosed with rule-out adult respiratory distress syndrome (ARDS). The client is receiving 10 L/min of oxygen via nasal cannula. Which arterial blood gases indicate the client does not have ARDS?
Correct Answer: A
Rationale: Normal ABGs (pH 7.38, PaO2 82) rule out ARDS, which causes severe hypoxemia (PaO2 <60).