NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which psychosocial problem should the nurse identify as priority for a client diagnosed with rheumatoid arthritis?
Correct Answer: A
Rationale: Chronic pain (alteration in comfort) is the priority in RA, impacting daily function, per Maslow.
Question 2 of 5
The client with type 2 diabetes mellitus asks the nurse, 'What does it matter if my glucose level is high? I don't feel bad.' Which statement by the nurse is most appropriate?
Correct Answer: A
Rationale: High glucose causes long-term eye and kidney damage, a clear, patient-centered explanation.
Question 3 of 5
The client with a history of substance abuse presents to the emergency department complaining of right flank pain, and the urinalysis indicates microscopic blood. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Flank pain with hematuria suggests a renal issue (e.g., stones); pain medication is the priority.
Question 4 of 5
The client asks the nurse about using herbs and special teas to decrease blood pressure. Which question is most important for the nurse to consider before addressing the client's concerns?
Correct Answer: B
Rationale: Safety is the priority when considering herbs/teas, as they may interact with medications or worsen hypertension. Cost, knowledge, and scope are secondary.
Question 5 of 5
The female client with a cold is prescribed warfarin (Coumadin), an anticoagulant, for chronic atrial fibrillation. The client calls the clinic and tells the nurse she is bleeding and bruising more than normal. Which information indicates a need for further teaching?
Correct Answer: A
Rationale: Echinacea may interact with warfarin, increasing bleeding risk, indicating a need for teaching about herb-drug interactions. Monthly INR, acetaminophen (safe with warfarin), and label reading are appropriate.