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 unlicensed assistive personnel (UAP) notifies the nurse the client diagnosed with chronic obstructive pulmonary disease is complaining of shortness of breath and would like his oxygen level increased. Which intervention should the nurse implement?
Correct Answer: C
Rationale: A pulse oximeter reading assesses oxygenation status, guiding whether oxygen adjustment is needed.
Question 3 of 5
The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Obesity (BMI ~38) and hypertension (154/98) are health risks; discussing weight loss addresses these priorities. Loud speech may be cultural, not anger; extended eye contact may be disrespectful; and discussing care with family requires consent.
Question 4 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 5 of 5
Which client should the nurse consider at risk for developing acute renal failure?
Correct Answer: C
Rationale: Anaphylaxis can cause shock, reducing renal perfusion and risking acute renal failure.