NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is initiating a blood transfusion. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,E
Rationale: Lung assessment monitors for transfusion reactions, consent ensures informed care, and order verification confirms accuracy.
Question 2 of 5
Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?
Correct Answer: A
Rationale: Cardiomyopathy impairs cardiac output, leading to heart failure, the primary client problem.
Question 3 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.
Question 4 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 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.