NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) empties the indwelling urinary catheter for a client who is four (4) hours postoperative transurethral resection of the prostate and informs the nurse the urine is red with some clots. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Assessing urine output confirms hematuria extent and patency, the first step post-TURP.
Question 2 of 5
Which intervention should the circulating nurse implement for the preoperative elderly client who is anxious and diaphoretic?
Correct Answer: A
Rationale: Soft, slow music reduces anxiety and promotes relaxation in the OR, safe for an elderly client. Rapid breaths worsen anxiety, talking may not suffice, and opening doors breaks asepsis.
Question 3 of 5
The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?
Correct Answer: A
Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.
Question 4 of 5
The nurse is preparing to make morning rounds. Which client should the nurse see first?
Correct Answer: C
Rationale: Chest pain, even if possibly dietary, may indicate a cardiac issue, requiring immediate assessment per ABCs. Cultural decision-making, pain refusal, and anger are less urgent.
Question 5 of 5
The nurse is caring for a client in the rehabilitation unit who is hearing impaired, is anxious, and has elevated blood pressure. The client enjoys pet therapy but is allergic to dogs and cats. Which intervention should the nurse implement?
Correct Answer: D
Rationale: A fish in a bowl provides a calming, visual form of pet therapy without allergy risks. Antihistamines pose risks, extra visits don’t address pet therapy, and a radio is unrelated.