NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?
Correct Answer: D
Rationale: A sputum culture and sensitivity test is essential before starting antibiotics like ampicillin to identify the causative organism and ensure appropriate treatment for bacterial pneumonia.
Question 2 of 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:
Correct Answer: C
Rationale: The temperature elevation related to febrile seizures generally exceeds 101°F, and seizures occur during the temperature rise rather than after a prolonged elevation. Febrile seizures may recur and are more likely to do so when the first seizure occurs in the 1st year of life. There is little risk of neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. Febrile seizures are associated with disease of the central nervous system.
Question 3 of 5
A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as 'a cramp in my leg.' An appropriate nursing action is to:
Correct Answer: B
Rationale: Calf pain with dorsiflexion of the foot (Homans' sign) can be a sign of a deep venous thrombosis; however, it is not diagnostic of the condition. Swelling and warmth along the affected vein are commonly observed clinical manifestations of a deep venous thrombosis as a result of inflammation of the vessel wall. Rubbing or massaging of the affected leg is contraindicated because of the risk of the clot breaking loose and becoming an embolus. A pillow behind the knee can be constricting and further impair blood flow.
Question 4 of 5
The nurse is caring for a client with a diagnosis of preeclampsia. Which intervention is most appropriate?
Correct Answer: D
Rationale: Magnesium sulfate prevents seizures blood pressure monitoring tracks hypertension and antihypertensives (e.g. hydralazine) manage severe hypertension in preeclampsia. All interventions are appropriate.
Question 5 of 5
A client hospitalized for treatment of congestive heart failure is to be discharged with a prescription for Digitek (digoxin) 0.25 mg daily. Which of the following statements indicates that the client needs further teaching?
Correct Answer: B
Rationale: Taking digoxin with an antacid can decrease its absorption, reducing effectiveness, so this statement indicates a need for further teaching.