NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 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 3 of 5
The client has gastroesophageal reflux disease. Which HCP order should the nurse question?
Correct Answer: B
Rationale: Protonix is typically once daily for GERD; four times daily is excessive, warranting clarification.
Question 4 of 5
The home health nurse is assessing a client diagnosed with congestive heart failure who has a slice of raw potato on a carbuncle on the abdomen. Which action should the nurse implement first?
Correct Answer: B
Rationale: Asking about the potato’s purpose respects cultural or folk beliefs (e.g., drawing out infection) and guides care. Explaining, cleansing, or ignoring may dismiss the client’s perspective.
Question 5 of 5
The nurse and the unlicensed assistive personnel (UAP) are caring for a client who is anxious. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Giving a back rub is a non-invasive, supportive task within UAP scope, reducing anxiety. Teaching, listening, and guided imagery require nursing judgment.