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 rehabilitation nurse is caring for an elderly client who had a surgical repair of a fractured hip. The client states she misses her dog. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Pet therapy with a trained dog provides emotional support without logistical issues of bringing the client’s dog. TV shows, family visits, or empathy alone are less effective.
Question 3 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 4 of 5
The client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.
Question 5 of 5
The nurse is assessing the client with a pneumothorax who has a closed-chest drainage system. Which data indicate the client's condition is stable?
Correct Answer: A
Rationale: Fluctuation in the water-seal compartment indicates a patent system, a sign of stability in pneumothorax.