NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The male Navajo client comes to the clinic complaining of chest pain and has a pouch filled with objects around his neck. Which statement best supports the nurse allowing the client to wear the pouch?
Correct Answer: A
Rationale: The pouch is a Navajo cultural practice (e.g., medicine pouch), and allowing it respects beliefs unless it interferes with care (e.g., imaging). Upset, absolute rules, or specific spiritual claims are less accurate.
Question 2 of 5
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task could be delegated to the UAP?
Correct Answer: C
Rationale: Routine vital sign collection is within UAP scope, unlike post-medication BP, HCP notification, or lab discussions.
Question 3 of 5
The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?
Correct Answer: 75
Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.
Question 4 of 5
The 85-year-old client diagnosed with severe end-stage chronic obstructive pulmonary disease has a chest x-ray incidentally revealing an eight (8)-cm abdominal aortic aneurysm (AAA). Which intervention should the nurse implement?
Correct Answer: A
Rationale: An 8-cm AAA in an elderly COPD patient has high rupture risk; end-of-life discussions are appropriate given surgical risks.
Question 5 of 5
The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?
Correct Answer: A
Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.