NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is planning the care for the client with multiple stage IV pressure ulcers. Which complication results from these pressure ulcers?
Correct Answer: B
Rationale: Stage IV pressure ulcers expose bone, risking osteomyelitis (bone infection), a severe complication.
Question 2 of 5
Which assessment data indicate to the nurse the client with diarrhea is experiencing a complication?
Correct Answer: C
Rationale: Tented turgor indicates dehydration, a serious diarrhea complication, requiring immediate intervention.
Question 3 of 5
The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?
Correct Answer: B
Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.
Question 4 of 5
Which comment by the client diagnosed with rule-out Guillain-Barré (GB) syndrome is most significant when completing the admission interview?
Correct Answer: A
Rationale: Recent gastroenteritis (e.g., Campylobacter) is a known trigger for Guillain-Barré, making it significant.
Question 5 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.