NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The male client is wearing a silver amulet to protect from evil spirits. Which action should the nurse take when sending the client to surgery?
Correct Answer: D
Rationale: Taping the amulet respects the client’s spiritual beliefs while ensuring safety in the OR, per patient-centered care. Removing, sending home, or questioning beliefs is less sensitive.
Question 2 of 5
The client is complaining of acute abdominal pain, and the next pain medication is not due for two (2) hours. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Correct Answer: B,C,E,D,A
Rationale: 1) Auscultate/palpate abdomen (assess for complications like obstruction); 2) Visualize pleasant memory (guided imagery for pain); 3) Offer back massage (nonpharmacological relief); 4) Play soft music (enhances relaxation); 5) Notify HCP (if pain persists or worsens).
Question 3 of 5
The unlicensed assistive personnel (UAP) notices a strange amulet pinned to the client's gown and offers to remove it. The client does not want it removed. Which rationale should the nurse give the UAP for allowing the client to continue to wear the amulet?
Correct Answer: C
Rationale: The amulet likely provides emotional or spiritual support, respecting patient-centered care. Calling it superstitious, silly, or worthless is dismissive and culturally insensitive.
Question 4 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.
Question 5 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.