NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which interventions should the emergency department nurse implement for a client who has an AP of 122 and a BP of 80/50? Select all that apply.
Correct Answer: B,D,E
Rationale: IV access, warming, and type/crossmatch address hypotension and potential blood loss; reverse Trendelenburg or admission are inappropriate.
Question 2 of 5
The client diagnosed with non-Hodgkin's lymphoma tells the nurse, 'I am so tired. I just wish I could die.' Which stage of the grieving process does this statement represent?
Correct Answer: D
Rationale: Wishing to die reflects acceptance in Kübler-Ross’s grieving stages, common in terminal illness.
Question 3 of 5
The client diagnosed with stomach cancer has developed disseminated intravascular coagulopathy (DIC). Which collaborative intervention should the nurse expect to implement?
Correct Answer: A
Rationale: Heparin prevents further clotting in DIC, a standard collaborative intervention, per ISTH guidelines.
Question 4 of 5
The nurse is providing preoperative teaching about pain management techniques for the client having surgery. The client has a history of drug abuse. What should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Complementary therapies (e.g., guided imagery) supplement medications, ensuring adequate pain control without over-reliance on drugs, considering abuse history. Assumptions, replacing medications, or doubling doses are unsafe.
Question 5 of 5
The nurse is admitting a female client to the medical-surgical unit when the client tells the nurse she takes many vitamins to keep her healthy. Which statement is the nurse's most appropriate response to the information provided by the client?
Correct Answer: B
Rationale: Informing the HCP about vitamins ensures safe prescribing, as some vitamins (e.g., A,
D) interact with medications. Dismissing vitamins, focusing on water-soluble vitamins, or assuming deficiency is inaccurate.