NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the client about relaxation techniques. Which interventions should be included in the teaching? Select all that apply.
Correct Answer: A,B,C
Rationale: Progressive muscle relaxation, soothing music, and sensory guided imagery are evidence-based relaxation techniques. Eliminating all stress is unrealistic, and journal insistence is not universal.
Question 2 of 5
The client receiving a continuous heparin drip complains of sudden chest pain on inspiration and tells the nurse, 'Something is really wrong with me.' Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Sudden pleuritic chest pain suggests pulmonary embolism, a heparin complication; assessing lung sounds is the first step.
Question 3 of 5
The client is performing breast self-examination (BSE) by the American Cancer Society's recommended steps and has completed palpating the breast. Which step is next when completing the BSE?
Correct Answer: A
Rationale: After palpation, visual inspection in a mirror detects skin changes, the next ACS BSE step.
Question 4 of 5
The home health nurse is assessing a client diagnosed with congestive heart failure who has a slice of raw potato on a carbuncle on the abdomen. Which action should the nurse implement first?
Correct Answer: B
Rationale: Asking about the potato’s purpose respects cultural or folk beliefs (e.g., drawing out infection) and guides care. Explaining, cleansing, or ignoring may dismiss the client’s perspective.
Question 5 of 5
The female client is admitted to the orthopedic floor with a spiral fracture of the arm and multiple contusions and abrasions covering the trunk of the body. Her husband accompanies her. During the admission interview, which intervention is priority?
Correct Answer: B
Rationale: Privacy allows safe discussion of injury causes, assessing for potential abuse, the priority.