NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is a recent immigrant to the country. The family is present in the room and one member of the family speaks English. Which should the nurse implement to complete the admission assessment?
Correct Answer: D
Rationale: Using a medical interpreter ensures accurate, confidential communication, per standards. Family interpreting risks bias, gestures are inadequate, and notifying HCP avoids responsibility.
Question 2 of 5
The client diagnosed with end-stage congestive heart failure is being cared for by the home health nurse. Which intervention should the nurse teach the caregiver?
Correct Answer: B
Rationale: Weight gain >3 lb/week indicates fluid retention in CHF, requiring HCP notification to adjust therapy.
Question 3 of 5
Which assessment information is the most critical indicator of a neurological deficit?
Correct Answer: B
Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.
Question 4 of 5
The client with anemia has been taking iron supplements. Which data would indicate to the nurse the treatment has been effective?
Correct Answer: B
Rationale: Improved ADL performance indicates increased energy from corrected anemia, an effective outcome. Iron-rich menus are educational, tarry stools are side effects, and nail dystrophy is a symptom.
Question 5 of 5
The telemetry nurse is monitoring the following clients. Which client should the telemetry nurse instruct the primary nurse to assess first?
Correct Answer: C
Rationale: Multifocal PVCs post-MI indicate higher arrhythmia risk, requiring urgent assessment, per ACLS guidelines.