NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse has just received the shift assessment. Which client should the nurse assess first?
Correct Answer: B
Rationale: Chest pain may indicate a life-threatening condition (e.g., MI), requiring immediate assessment, per triage priorities.
Question 2 of 5
The client is admitted to the medical unit complaining of severe abdominal pain. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Assessing for complications (e.g., perforation) is the first step in severe abdominal pain, per nursing process.
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 client diagnosed with cancer of the larynx has had a partial laryngectomy. Which client problem has the highest priority?
Correct Answer: C
Rationale: Risk for aspiration is the priority post-laryngectomy due to airway alteration, a life-threatening concern.
Question 5 of 5
The client diagnosed with Stage IV prostate cancer is receiving chemotherapy. Which laboratory value should the nurse assess prior to administering the chemotherapy?
Correct Answer: C
Rationale: CBC assesses bone marrow suppression (e.g., neutropenia, anemia), a chemotherapy risk, ensuring safe administration.