NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The female client is complaining of dyspepsia, insomnia, and upper respiratory infection symptoms and has an elevated blood pressure. The client tells the nurse she recently moved to the area to care for an ill parent. Which statement best explains the client's clinical manifestations?
Correct Answer: B
Rationale: Stress from caregiving may suppress immunity, causing URI, dyspepsia, insomnia, and hypertension. Psychosomatic illness is vague, gastric reflux is specific, and essential hypertension is premature.
Question 2 of 5
The 54-year-old female client is diagnosed with osteoporosis. Which interventions should the nurse discuss with the client? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Swimming (weight-bearing exercise), vitamin D milk, smoking cessation, and fall precautions reduce osteoporosis progression and fracture risk.
Question 3 of 5
Which assessment data would make the nurse suspect the client has cancer of the bladder?
Correct Answer: A
Rationale: Gross painless hematuria is the hallmark symptom of bladder cancer, per AUA guidelines.
Question 4 of 5
Which problem is priority for the 24-year-old client diagnosed with endometriosis who is admitted to the gynecological unit?
Correct Answer: B
Rationale: Pain is the priority in endometriosis due to severe dysmenorrhea and pelvic discomfort, per Maslow’s hierarchy, impacting quality of life.
Question 5 of 5
The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?
Correct Answer: C
Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.