NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The rehabilitation nurse is caring for an elderly client who had a surgical repair of a fractured hip. The client states she misses her dog. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Pet therapy with a trained dog provides emotional support without logistical issues of bringing the client’s dog. TV shows, family visits, or empathy alone are less effective.
Question 2 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.
Question 3 of 5
The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Obesity (BMI ~38) and hypertension (154/98) are health risks; discussing weight loss addresses these priorities. Loud speech may be cultural, not anger; extended eye contact may be disrespectful; and discussing care with family requires consent.
Question 4 of 5
The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?
Correct Answer: C
Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.
Question 5 of 5
The nurse is teaching a 28-year-old client who was recently prescribed birth control pills. Which statement by the client indicates teaching has been effective?
Correct Answer: A
Rationale: Antibiotics (e.g., rifampin) reduce oral contraceptive efficacy, requiring backup methods, indicating effective teaching. Missing pills, patch preference, or ring replacement are incorrect.