NCLEX-PN Prep Questions (straight from ATI)(Top QUALITY 2024/2025 EXAM REVIEW) FALL TO SPRING SEMESTER//

NCLEX-PN Prep Questions (straight from ATI) A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client? - Standard precautions. HIV is not spread through cough or casual contact. A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. Should the nurse: keep the ulcer bed dry, clean the ulcer with hydrogen peroxide, provide the client a diet high in vitamin C, or reposition them every 4 hours? - Provide the client a diet that's high in vitamin C in order to promote wound healing and development of new tissue. A nurse is caring for a client who has urinary incontinence. What should the nurse do to prevent the development of skin breakdown? - Apply a moisture barrier ointment to the skin to prevent further contact of the skin with urine. A nurse is planning to perform passive range of motion to a client who is immobilized. Should the nurse: support extremities above and below joints, stretch the body part just beyond the existing range of motion, or continue moving body parts if muscle spasticity occurs? - Support extremities above and below the joints to prevent muscle strain or injury. Identify Erikson's stages of psychosocial development from birth through 18 years of age. - trust vs mistrust, autonomy vs shame and doubt, initiative vs guilt, industry vs inferiority, identify vs role confusion A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Should the nurse expect: hyperactive reflexes, extreme thirst, weak irregular pulse, or hyperactive bowel sounds? - A weak, irregular pulse. Common manifestations of potassium depletion include: a weak and irregular pulse, muscle weakness, fatigue, and ventricular dysrhythmias. A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan? - -The nurse should flush the gastrostomy tube with 30 to 60 mL of water every four hours to provide free water to the client and prevent dehydration. -The nurse should change the feeding bag and tubing every 24 hr to limit the growth of bacteria within the system. -The nurse should elevate the head of the bed to 45 degrees (semi-Fowler's position) for a client who is receiving continuous enteral feedings to limit the risk of aspiration of the formula. -The nurse should limit the quantity in the feeding bag to provide feeding for a 4 hr time frame to limit bacterial growth within the system. A nurse is verifying that a client is giving informed consent to undergo electroconvulsive therapy. Which of the following actions should the nurse take? - Confirm the client's signature is authentic. When verifying that a client is giving informed consent, the nurse's responsibilities include: identifying if the client's signature is authentic, that the client gave consent voluntarily, and that the client appears to be competent to give consent. A nurse is caring for a client who presents to urgent care with a laceration on his forearm. Which of the following activities is an example of primary prevention? - Administering a tetanus shot is an example of primary prevention. (Primary prevention is true prevention of the manifestations of illness through health promotion and disease prevention. This level of prevention includes immunizations because they provide protection against specific infections and diseases.) [Secondary prevention focuses on prompt intervention for health problems or issues.] -Suturing the client's wound is an example of secondary preventio