NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which laboratory result warrants immediate intervention by the nurse for the female client diagnosed with systemic lupus erythematosus (SLE)?
Correct Answer: D
Rationale: Elevated WBC (15,000) suggests infection or flare in SLE, requiring immediate intervention due to immunosuppression.
Question 2 of 5
The female client is complaining of dyspepsia, insomnia, and upper respiratory infection symptoms and has an elevated blood pressure. The client tells the nurse she recently moved to the area to care for an ill parent. Which statement best explains the client's clinical manifestations?
Correct Answer: B
Rationale: Stress from caregiving may suppress immunity, causing URI, dyspepsia, insomnia, and hypertension. Psychosomatic illness is vague, gastric reflux is specific, and essential hypertension is premature.
Question 3 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.
Question 4 of 5
Which intervention should the nurse implement when discussing health promotion activities for a client with a German heritage who leads a sedentary lifestyle?
Correct Answer: C
Rationale: A sedentary lifestyle increases cardiovascular risks; identifying an exercise program promotes health, tailored to the client’s needs. Support groups, alcohol abstinence, and food restrictions are less prioritized without specific indications.
Question 5 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.