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 unlicensed assistive personnel (UAP) notices a strange amulet pinned to the client's gown and offers to remove it. The client does not want it removed. Which rationale should the nurse give the UAP for allowing the client to continue to wear the amulet?
Correct Answer: C
Rationale: The amulet likely provides emotional or spiritual support, respecting patient-centered care. Calling it superstitious, silly, or worthless is dismissive and culturally insensitive.
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 diagnosed with end-stage congestive heart failure is being cared for by the home health nurse. Which intervention should the nurse teach the caregiver?
Correct Answer: B
Rationale: Weight gain >3 lb/week indicates fluid retention in CHF, requiring HCP notification to adjust therapy.
Question 5 of 5
Which signs/symptoms should the nurse expect to assess in the client diagnosed with Addison's disease?
Correct Answer: A
Rationale: Addison’s causes cortisol deficiency, leading to hypotension and bronze pigmentation, classic symptoms.