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 nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?
Correct Answer: B
Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.
Question 3 of 5
The client diagnosed with arterial occlusive disease is prescribed an antiplatelet medication, clopidogrel (Plavix). Which assessment data indicate the medication is effective?
Correct Answer: C
Rationale: Clopidogrel prevents platelet aggregation, reducing stroke risk in arterial disease, indicating effectiveness.
Question 4 of 5
The client with a deficiency of the immune system questions the nurse about the use of ginseng. Which information should the nurse teach the client?
Correct Answer: C
Rationale: Ginseng should not be used continuously (>2 months) due to risks like hypertension or insomnia, especially in immunocompromised clients. Daily dosing, caffeine, or no contraindications are inaccurate.
Question 5 of 5
Which diagnostic test should the nurse expect to be ordered for the client who has a nevus which is purple and brown with irregular borders?
Correct Answer: B
Rationale: A suspicious nevus with irregular borders requires a skin biopsy to rule out melanoma, the standard diagnostic test.