NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?
Correct Answer: D
Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.
Question 2 of 5
The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?
Correct Answer: B
Rationale: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.
Question 3 of 5
Which laboratory result warrants immediate intervention by the nurse for the female client diagnosed with systemic lupus erythematosus (SLE)?
Correct Answer: D
Rationale: Elevated WBC (15,000) suggests infection or flare in SLE, requiring immediate intervention due to immunosuppression.
Question 4 of 5
The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?
Correct Answer: A
Rationale: Purple, round marks suggest cupping, a traditional therapy for respiratory issues, common in some cultures. Bruising, abuse, or client causation are less likely without evidence.
Question 5 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.