NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which assessment information is the most critical indicator of a neurological deficit?
Correct Answer: B
Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.
Question 2 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 3 of 5
The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.
Question 4 of 5
The client receiving a continuous heparin drip complains of sudden chest pain on inspiration and tells the nurse, 'Something is really wrong with me.' Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Sudden pleuritic chest pain suggests pulmonary embolism, a heparin complication; assessing lung sounds is the first step.
Question 5 of 5
The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.