NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
The client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.
Question 3 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 4 of 5
The male Navajo client comes to the clinic complaining of chest pain and has a pouch filled with objects around his neck. Which statement best supports the nurse allowing the client to wear the pouch?
Correct Answer: A
Rationale: The pouch is a Navajo cultural practice (e.g., medicine pouch), and allowing it respects beliefs unless it interferes with care (e.g., imaging). Upset, absolute rules, or specific spiritual claims are less accurate.
Question 5 of 5
The nurse is assessing the client with psoriasis. Which data support this diagnosis?
Correct Answer: A
Rationale: Psoriasis presents as red plaques with silvery scales, the hallmark clinical finding.