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
The nurse is preparing the plan of care for the client diagnosed with migraine headaches. Which information regarding complementary therapies should the nurse include in this plan?
Correct Answer: D
Rationale: Aromatic oils may trigger migraines; avoiding them is key in complementary therapy for migraine management. Therapeutic touch, autogenic therapy, and massage are less specific.
Question 3 of 5
Which intervention will help prevent the nurse from being sued for malpractice throughout his or her professional practice?
Correct Answer: A
Rationale: Accurate documentation provides evidence of care, the primary defense against malpractice claims.
Question 4 of 5
The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which intervention should have priority in the client's plan of care?
Correct Answer: A
Rationale: Sperm banking is the priority pre-orchiectomy to preserve fertility, especially in young clients, per oncology guidelines.
Question 5 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.