NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?
Correct Answer: A
Rationale: Notifying the team and charting the refusal respects the client’s Jehovah’s Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.
Question 2 of 5
The nurse has just received the shift assessment. Which client should the nurse assess first?
Correct Answer: B
Rationale: Chest pain may indicate a life-threatening condition (e.g., MI), requiring immediate assessment, per triage priorities.
Question 3 of 5
The client is diagnosed with aortic stenosis. Which assessment data indicate a complication is occurring?
Correct Answer: C
Rationale: Pink, frothy sputum and DOE suggest pulmonary edema, a complication of aortic stenosis due to heart failure.
Question 4 of 5
The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?
Correct Answer: A
Rationale: Purple, round marks suggest cupping, a traditional therapy for respiratory issues, common in some cultures. Bruising, abuse, or client causation are less likely without evidence.
Question 5 of 5
The nurse is providing preoperative teaching about pain management techniques for the client having surgery. The client has a history of drug abuse. What should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Complementary therapies (e.g., guided imagery) supplement medications, ensuring adequate pain control without over-reliance on drugs, considering abuse history. Assumptions, replacing medications, or doubling doses are unsafe.