NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) is bathing a client who is comatose and the radio is playing current rock music. The client has tachycardia and elevated blood pressure. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Baroque music (slow, calming) may reduce tachycardia and BP in a comatose client, per music therapy principles. No action ignores symptoms, medication is premature, and repositioning is unrelated.
Question 2 of 5
Which information should the nurse discuss with the client to prevent an acute exacerbation of diverticulosis?
Correct Answer: A
Rationale: High fiber prevents diverticulosis exacerbations by promoting regular bowel movements, per AGA guidelines.
Question 3 of 5
The client has sustained severe burns on both the anterior right and left leg and the anterior chest and abdomen. According to the rule of nines, what percentage of the body has been burned?
Correct Answer: 36
Rationale: Rule of nines: anterior legs (9% each = 18%), anterior chest/abdomen (18%) = 18% + 18% = 36%.
Question 4 of 5
Which assessment data indicate the client has developed a deep vein thrombosis (DVT) in the left leg?
Correct Answer: B
Rationale: Increased calf circumference suggests DVT due to swelling from clot-related obstruction.
Question 5 of 5
Which diagnostic test should the nurse expect to be ordered for the client who has a nevus which is purple and brown with irregular borders?
Correct Answer: B
Rationale: A suspicious nevus with irregular borders requires a skin biopsy to rule out melanoma, the standard diagnostic test.