NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?
Correct Answer: C
Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.
Question 2 of 5
The male client tells the nurse that he has been using acupuncture to control his chronic back pain. Which is the nurse's best response?
Correct Answer: B
Rationale: Asking about pain pre- and post-acupuncture assesses its effectiveness, supporting patient-centered care. Insurance discussion, needle sterilization (done by professionals), or suggesting alternatives is less relevant.
Question 3 of 5
The 24-year-old African American female client tells the nurse she has a brother with sickle cell disease. She is engaged to be married and is concerned about giving this disease to her future children. Which information is most important to provide to the client?
Correct Answer: C
Rationale: Genetic counseling assesses carrier status and risks for sickle cell disease, the most proactive step.
Question 4 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 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.