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
Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?
Correct Answer: A
Rationale: Cardiomyopathy impairs cardiac output, leading to heart failure, the primary client problem.
Question 3 of 5
The client with chronic pancreatitis is admitted with an acute exacerbation of the disease. Which laboratory result warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Elevated glucose in pancreatitis risks DKA or complications, requiring immediate insulin or HCP notification.
Question 4 of 5
The unlicensed assistive personnel asked the wound care nurse why a client has cabbage leaves on the wound. Which statement would be the best response by the nurse?
Correct Answer: A
Rationale: Cabbage leaves have documented anti-inflammatory properties, used in folk medicine. Calling it ignorance, placebo, or only moisture is dismissive or inaccurate.
Question 5 of 5
The client diagnosed with gastroesophageal reflux disease (GERD) has undergone surgery for a hiatal hernia repair. The client has a nasogastric tube in place. Intravenous fluid replacement is to be at 125 mL/hr plus the amount of drainage. The drainage from 0800 to 0900 is 45 mL. At which rate should the IV pump be set for the next hour?
Correct Answer: 170
Rationale: Base rate (125 mL/hr) + drainage (45 mL) = 170 mL/hr for the next hour.