ATI NCLEX PN Predictor Test

ATI NCLEX PN Predictor Test Related

Review ATI NCLEX PN Predictor Test related questions and content

A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the following manifestations requires immediate action by the nurse?

  • A. Increase in frequency of swallowing.
  • B. Moderate sanguineous drainage on the drip pad.
  • C. Bruising to the face.
  • D. Absent gag reflex.
Correct Answer: A

Rationale: The correct answer is A: Increase in frequency of swallowing. After rhinoplasty, an increase in frequency of swallowing may indicate possible bleeding, which requires immediate action by the nurse. The client could be experiencing postoperative bleeding, and prompt intervention is necessary to prevent complications. Choice B, moderate sanguineous drainage on the drip pad, is expected in the immediate postoperative period and does not require immediate action unless it becomes excessive. Choice C, bruising to the face, is a common postoperative finding and does not require immediate action unless it is excessive or affects the airway. Choice D, absent gag reflex, would not be expected immediately following rhinoplasty and would require intervention, but the manifestation of increased swallowing frequency is a higher priority due to its association with potential bleeding.

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What is an early sign that suctioning is needed for a client with a tracheostomy?

  • A. Bradycardia
  • B. Irritability
  • C. Hypotension
  • D. Decreased oxygen saturation
Correct Answer: B

Rationale: Irritability is an early sign that suctioning is needed for a client with a tracheostomy. When secretions accumulate in the airway, it can lead to discomfort and irritability in the client. Bradycardia, hypotension, and decreased oxygen saturation are usually later signs of inadequate airway clearance and oxygenation. Bradycardia may indicate severe hypoxia, while hypotension and decreased oxygen saturation are consequences of prolonged airway obstruction.

A client is concerned about extreme fatigue after an acute myocardial infarction. What is the best strategy the nurse can suggest to promote independence in self-care?

  • A. Encourage the client to rest and let the healthcare team take over self-care tasks
  • B. Instruct the client to gradually resume self-care tasks, with rest periods
  • C. Assign assistive personnel to complete self-care tasks for the client
  • D. Ask the client's family to assist with self-care
Correct Answer: B

Rationale: The best strategy to promote independence in self-care for a client concerned about extreme fatigue after an acute myocardial infarction is to instruct the client to gradually resume self-care tasks, with rest periods. This approach allows the client to regain independence without overexerting. Choice A is incorrect because encouraging the client to rest completely and letting the healthcare team take over self-care tasks may hinder independence. Choice C is incorrect as assigning assistive personnel to complete self-care tasks does not promote the client's independence. Choice D is not the best option as the primary focus should be on empowering the client to perform self-care tasks independently.

How should a healthcare professional assess and manage a patient with delirium?

  • A. Assess for confusion and reorient the patient
  • B. Provide a quiet environment and administer sedatives
  • C. Provide oxygen therapy and monitor vital signs
  • D. Provide pain relief and monitor for signs of recovery
Correct Answer: A

Rationale: The correct way to assess and manage a patient with delirium is by assessing for confusion and reorienting the patient. Delirium is characterized by acute confusion and disturbance in attention, so reorienting the patient to time, place, and person can help improve their awareness and cognition. Providing a quiet environment is important to reduce stimuli that can exacerbate delirium, but administering sedatives may worsen the condition. Oxygen therapy and monitoring vital signs are essential aspects of general patient care but are not specific to managing delirium. Providing pain relief is important for overall patient comfort but may not directly address the core issue of delirium.

A nurse is caring for a client who is constipated. What intervention is most appropriate?

  • A. Administer a laxative to relieve discomfort
  • B. Encourage the client to increase dietary fiber intake
  • C. Encourage the client to rest until symptoms resolve
  • D. Administer a stool softener as prescribed
Correct Answer: B

Rationale: The most appropriate intervention for constipation is to encourage the client to increase dietary fiber intake. Fiber helps promote bowel movements and relieve constipation by adding bulk to the stool. Administering a laxative (Choice A) should not be the first-line intervention as it can lead to dependence. Encouraging rest (Choice C) is not directly helpful in relieving constipation. While administering a stool softener (Choice D) can be beneficial, increasing fiber intake is generally preferred as the initial intervention.

Which lifestyle modification should be emphasized for a client with hypertension?

  • A. Increase sodium intake
  • B. Reduce caffeine and alcohol intake
  • C. Eat carbohydrate-rich meals
  • D. Increase protein intake
Correct Answer: B

Rationale: The correct answer is to reduce caffeine and alcohol intake for a client with hypertension. Caffeine and alcohol can increase blood pressure, so reducing their intake can help manage hypertension. Increasing sodium intake (Choice A) is not recommended for hypertension as it can lead to fluid retention and increased blood pressure. Eating carbohydrate-rich meals (Choice C) is also not ideal as excessive carbohydrates can contribute to weight gain, which can worsen hypertension. Similarly, increasing protein intake (Choice D) is not a primary focus for managing hypertension unless a specific protein deficiency is present.

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