NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Question 1 of 5
The client is using acupuncture to help relieve severe back pain. Which client problem would the home health nurse identify in the plan of care?
Correct Answer: B
Rationale: Acupuncture carries a small risk of infection from unsterile needles, a valid care plan problem. Paralysis, AIDS, or non-resolution are not primary concerns with professional acupuncture.
Question 2 of 5
The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?
Correct Answer: C
Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.
Question 3 of 5
The client expresses anxiety prior to an upcoming procedure. Which should the nurse implement first to assist the client?
Correct Answer: C
Rationale: Slow deep breathing is a non-invasive, immediate anxiety reduction technique. Sedatives, family notification, or dismissing concerns are secondary or unhelpful.
Question 4 of 5
The client diagnosed with cancer of the larynx has had a partial laryngectomy. Which client problem has the highest priority?
Correct Answer: C
Rationale: Risk for aspiration is the priority post-laryngectomy due to airway alteration, a life-threatening concern.
Question 5 of 5
The nurse and the unlicensed assistive personnel are performing postmortem care on a client. Two (2) of the family members are seen laughing about a memory of the client. What explanation of this behavior would be best for the nurse to give the unlicensed assistive personnel?
Correct Answer: C
Rationale: Laughter about memories is a coping mechanism for grief, per cultural and psychological norms. Assuming lack of love, inappropriateness, or lack of education is judgmental.