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 nurse and the unlicensed assistive personnel (UAP) are caring for a client who is anxious. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Giving a back rub is a non-invasive, supportive task within UAP scope, reducing anxiety. Teaching, listening, and guided imagery require nursing judgment.
Question 3 of 5
After evaluating the meal tray of a Jewish client, the nurse notices the client ate none of the meal. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Determining why the client isn’t eating (e.g., kosher dietary needs, appetite) guides appropriate action, such as requesting a kosher meal. Family involvement, rabbi notification, or dietary requests are premature.
Question 4 of 5
The male client tells the nurse that he has been using acupuncture to control his chronic back pain. Which is the nurse's best response?
Correct Answer: B
Rationale: Asking about pain pre- and post-acupuncture assesses its effectiveness, supporting patient-centered care. Insurance discussion, needle sterilization (done by professionals), or suggesting alternatives is less relevant.
Question 5 of 5
Which assessment data indicate the treatment for the client diagnosed with bacterial meningitis is effective?
Correct Answer: D
Rationale: Neck flexibility without pain indicates reduced meningeal inflammation, a sign of effective meningitis treatment.