NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is admitting the client to a medical unit. Which questions should the nurse specifically ask the client about the current use of medications? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All questions are essential for a comprehensive medication history: herbs (drug interactions), OTC meds (side effects), allergies (safety), timing (dosing), and prescriptions (treatment plan).
Question 2 of 5
The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?
Correct Answer: B
Rationale: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.
Question 3 of 5
The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which intervention should have priority in the client's plan of care?
Correct Answer: A
Rationale: Sperm banking is the priority pre-orchiectomy to preserve fertility, especially in young clients, per oncology guidelines.
Question 4 of 5
The client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.
Question 5 of 5
Which client should the charge nurse on the substance abuse unit assign to the licensed practical nurse (LPN)?
Correct Answer: A
Rationale: The stable alcoholic client is suitable for an LPN, unlike those with acute symptoms or psychiatric risks.