NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

Home > NCLEX-RN > ATI NCLEX-RN Practice Questions
NCLEX-RN Test Bank

ATI NCLEX-RN Practice Questions Questions

Extract:


Question 1 of 5

A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?

Correct Answer: D

Rationale: Altered nutrition occurs owing to the fatigue from decreased cardiac output associated with congestive heart failure. The decreased intake occurs due to fatigue from the altered cardiac output. Fatigue occurs due to the decreased cardiac output. The ineffective action of the myocardium leads to inadequate O2 to the tissues, which produces activity intolerance, altered nutrition, and altered growth and development.

Question 2 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.

Question 3 of 5

MgSO4 blood levels are monitored and the nurse would be prepared to administer the following antidote for MgSO4 side effects or toxicity:

Correct Answer: C

Rationale: These drugs are not antidotes for MgSO4. This drug is the standard antidote and should always be readily available when MgSO4 is being administered. This drug is an antidote for narcotics, not MgSO4.

Question 4 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: A

Rationale: The client two hours post-lobectomy with 150mL of chest drainage is at risk for complications such as hemorrhage or tension pneumothorax, requiring immediate assessment. The other clients are stable: scant drainage is expected post-gastrectomy, a fever in pneumonia is concerning but less urgent, and a fractured hip in traction is typically stable.

Question 5 of 5

Which action can be delegated to the licensed practical nurse?

Question Image

Correct Answer: A, B, E

Rationale: LPNs can insert catheters (
A), perform tracheostomy care (
B), and change sterile dressings (E) within their scope. Initiating blood transfusions (
C) and irrigating PICC lines (
D) require RN-level assessment and monitoring.

Similar Questions

The nurse is caring for a client with a history of angina. Which medication should the nurse anticipate being prescribed for acute chest pain?
The nurse is teaching a client with a history of heart failure about medication adherence. The nurse should tell the client to:
The nurse is assessing and getting a history from a client treated for depression with a monoamine oxidase (MAO) antidepressant. The most serious side effect associated with this antidepressant and the ingestion of tyramine in aged foods may be:
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect. Based on his developmental stage, the nurse:
The nurse is preparing a teaching session for a client with hepatitis B who has been prescribed lamivudine (Epivir). Which does the nurse include as adverse effects of the drug?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days