ATI NCLEX-PN Practice Questions
Question 1 of 5.
The client who has had a cold for the last week is complaining of congestion and a stuffy nose. The client has been using medicated nasal spray several times a day. Which information should the nurse teach the client about frequent use of nasal spray?
A. Nasal sprays are safe because they are available over the counter.
B. Nasal sprays such as Afrin cause rebound congestion when used frequently.
C. Nasal sprays have no adverse reactions, unlike over-the-counter oral decongestants.
D. Nasal sprays must be alternated to help prevent developing a tolerance to the spray.
Explanation: Frequent use of decongestant nasal sprays (e.g., Afrin) causes rebound congestion (rhinitis medicamentosa) due to vasoconstrictor overuse, requiring education. OTC sprays have risks, adverse reactions exist, and alternating sprays is not standard.
Question 2 of 5.
The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?
A. Maintain extended direct eye contact during the interview.
B. Address what is assumed to be the client's anger because she is talking loudly.
C. Discuss the client's care with the daughter and son-in-law.
D. Discuss a weight-loss program for the client.
Explanation: Obesity (BMI ~38) and hypertension (154/98) are health risks; discussing weight loss addresses these priorities. Loud speech may be cultural, not anger; extended eye contact may be disrespectful; and discussing care with family requires consent.
Question 3 of 5.
The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?
A. Use questions which require 'yes' and 'no' answers when possible.
B. Touch the client's head to assess warmth in case of a fever.
C. Assume the client's smile means the client understands the teaching.
D. Initially address conversation to the eldest family member.
Explanation: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.
Question 4 of 5.
When interviewing the client of Hindu heritage, which information should the nurse obtain to plan culturally sensitive care?
A. Determine if the client has an advance directive.
B. Assess the extent of the client's use of ayurveda.
C. Request an interpreter to obtain the client's chief complaints.
D. Inquire if the client has allergies to any foods or medications.
Explanation: Ayurveda, common in Hindu culture, may influence health practices (e.g., herbs, diet), guiding culturally sensitive care. Advance directives, interpreters, and allergies are general, not Hindu-specific.
Question 5 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?
A. The client is superstitious and may become distressed if it is removed.
B. The amulet is a silly trinket which won't hurt the client in any way.
C. The client brought the amulet because it gives the client emotional support.
D. The amulet is worthless and no one would try to steal it if it stays on the gown.
Explanation: The amulet likely provides emotional or spiritual support, respecting patient-centered care. Calling it superstitious, silly, or worthless is dismissive and culturally insensitive.
Related Questions