NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A 37-year-old client has been taking antipsychotic medication for the past 10 days. The nurse observes her walking with a shuffling gait and postural rigidity and notes a masklike expression on her face. Which side effect is this client exhibiting?
Correct Answer: B
Rationale: This answer is incorrect. Dystonia refers to severe, painful muscle contractions. This answer is correct. Parkinsonism commonly occurs approximately 1-2 weeks after initiation of antipsychotic drug therapy. Traditional signs are masklike facies, postural rigidity, shuffling gait, and resting tremor. This answer is incorrect. Tardive dyskinesia is characterized by involuntary muscle movements of the face, jaw, and tongue. This answer is incorrect. Akathisia is motor restlessness.
Question 2 of 5
Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:
Correct Answer: D
Rationale: There is a rise in glomerular filtration rate in the kidneys in conjunction with decreased tubular glucose reabsorption, resulting in glycosuria. Insulin is inhibited by increased levels of estrogen. Insulin is inhibited by increased levels of progesterone. Human placental lactogen levels increase later in pregnancy. This hormonal antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the circulation of free fatty acids.
Question 3 of 5
A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor for the tubing is 10 gtt/mL. How many drops per minute should the nurse administer?
Correct Answer: D
Rationale: 20.8, or 21 gtt/min.
Question 4 of 5
An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?
Correct Answer: B
Rationale: Bright red urine with many clots post-TURP indicates significant bleeding or clot obstruction, requiring immediate reporting to prevent complications. The other findings are less urgent.
Question 5 of 5
The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which medication is most likely to be ordered?
Correct Answer: B
Rationale: Methylergonovine (Methergine) is an oxytocic used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Magnesium sulfate is for preeclampsia terbutaline is a tocolytic and betamethasone is for fetal lung maturity.