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 diagnosed with chronic renal failure is receiving peritoneal dialysis. Which assessment by the nurse warrants immediate intervention?
Correct Answer: A
Rationale: Cloudy dialysate suggests peritonitis, a serious complication requiring immediate intervention.
Question 3 of 5
The nurse is providing preoperative teaching about pain management techniques for the client having surgery. The client has a history of drug abuse. What should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Complementary therapies (e.g., guided imagery) supplement medications, ensuring adequate pain control without over-reliance on drugs, considering abuse history. Assumptions, replacing medications, or doubling doses are unsafe.
Question 4 of 5
The client diagnosed with neurogenic diabetes insipidus (DI) asks the nurse, 'What is wrong with me? Why do I urinate so much?' Which statement by the nurse is most appropriate?
Correct Answer: B
Rationale: Neurogenic DI results from ADH deficiency due to pituitary dysfunction, causing polyuria.
Question 5 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.