ATI NCLEX-PN Practice Questions
Question 1 of 5.
The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?
A. I will place a notice on your chart and report to the surgical team that you will not allow blood or blood products to be given.
B. If you go into surgery then all interventions there have to be administered in order for you to have the desired results.
C. You do not want a blood transfusion? Tell me why you would not want something that could save your life?
D. Your health-care provider (HCP) must write an order that you do not want blood or blood products to be given.
Explanation: Notifying the team and charting the refusal respects the client's Jehovah's Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.
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.
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