NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The home health nurse is assessing a client diagnosed with congestive heart failure who has a slice of raw potato on a carbuncle on the abdomen. Which action should the nurse implement first?
Correct Answer: B
Rationale: Asking about the potato’s purpose respects cultural or folk beliefs (e.g., drawing out infection) and guides care. Explaining, cleansing, or ignoring may dismiss the client’s perspective.
Question 2 of 5
Which assessment information is the most critical indicator of a neurological deficit?
Correct Answer: B
Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.
Question 3 of 5
Which psychosocial client problem should the nurse write for the client diagnosed with cancer of the lung and metastasis to the brain?
Correct Answer: B
Rationale: Grieving is the priority psychosocial problem in terminal cancer with metastasis, per Kübler-Ross.
Question 4 of 5
The nurse is assisting the client diagnosed with chronic pain to identify methods of complementary and alternative medicine (CAM). Which would indicate an expected outcome was achieved?
Correct Answer: D
Rationale: Performing ADLs without pain indicates effective CAM, improving function. Bed rest, increased pain, or routine medication are not CAM-specific outcomes.
Question 5 of 5
The client is using acupuncture to help relieve severe back pain. Which client problem would the home health nurse identify in the plan of care?
Correct Answer: B
Rationale: Acupuncture carries a small risk of infection from unsterile needles, a valid care plan problem. Paralysis, AIDS, or non-resolution are not primary concerns with professional acupuncture.