NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which action by the unlicensed assistive personnel (UAP) requires intervention by the nurse?
Correct Answer: D
Rationale: Wiping back to front risks UTI, requiring intervention; other actions are appropriate.
Question 2 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 3 of 5
The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?
Correct Answer: A
Rationale: Purple, round marks suggest cupping, a traditional therapy for respiratory issues, common in some cultures. Bruising, abuse, or client causation are less likely without evidence.
Question 4 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.
Question 5 of 5
The 85-year-old client diagnosed with severe end-stage chronic obstructive pulmonary disease has a chest x-ray incidentally revealing an eight (8)-cm abdominal aortic aneurysm (AAA). Which intervention should the nurse implement?
Correct Answer: A
Rationale: An 8-cm AAA in an elderly COPD patient has high rupture risk; end-of-life discussions are appropriate given surgical risks.