NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is incorporating complementary therapies in the routines of residents of a long-term care facility. Which information should the nurse consider when matching the clients with the therapy? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Matching therapies requires considering client preferences, likes/dislikes, therapy benefits, and physical/mental abilities for effectiveness and adherence. Significant other’s concerns are secondary unless they impact care.
Question 2 of 5
The unlicensed assistive personnel (UAP) is bathing a client who is comatose and the radio is playing current rock music. The client has tachycardia and elevated blood pressure. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Baroque music (slow, calming) may reduce tachycardia and BP in a comatose client, per music therapy principles. No action ignores symptoms, medication is premature, and repositioning is unrelated.
Question 3 of 5
The client comes to the emergency department complaining of pain in the right forearm. The nurse notes a large area of redness and edema over the forearm, and the client has an elevated temperature. Which condition should the nurse suspect?
Correct Answer: A
Rationale: Redness, edema, and fever suggest cellulitis, a bacterial skin infection, the most likely diagnosis.
Question 4 of 5
According to the nursing process, which interventions should the nurse implement when caring for a client diagnosed with a right-sided cerebrovascular accident (stroke) and who has difficulty swallowing? List the interventions in order of the nursing process.
Order the Items
Source Container
Correct Answer: B,A,C,D,E
Rationale: 1) Assess LOC/speech (assessment); 2) Write problem (diagnosis); 3) Request diet (planning); 4) Instruct HOB elevation (implementation); 5) Note food intake (evaluation).
Question 5 of 5
The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?
Correct Answer: 170
Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.