NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which question should the nurse ask the client who is being admitted to rule out infective endocarditis?
Correct Answer: B
Rationale: Valve replacement is a major risk for endocarditis, making this the most relevant question.
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 comes to the emergency department complaining of pain in the right forearm. The nurse notes a large area of redness and edema over the forearm, and the client has an elevated temperature. Which condition should the nurse suspect?
Correct Answer: A
Rationale: Redness, edema, and fever suggest cellulitis, a bacterial skin infection, the most likely diagnosis.
Question 4 of 5
The nurse is caring for the surgical client who is experiencing pain at a '4' on a 1-to-10 pain scale and is receiving pain medication via patient-controlled analgesia (PCA). Which intervention should the nurse implement first to assist the client's pain management?
Correct Answer: C
Rationale: Guided imagery enhances relaxation, complementing PCA for moderate pain (4/10), a non-invasive first step. Notifying HCP, reassuring, or family PCA use are premature or unsafe.
Question 5 of 5
The nurse is preparing the plan of care for the client diagnosed with migraine headaches. Which information regarding complementary therapies should the nurse include in this plan?
Correct Answer: D
Rationale: Aromatic oils may trigger migraines; avoiding them is key in complementary therapy for migraine management. Therapeutic touch, autogenic therapy, and massage are less specific.