NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postoperative recovery progressed without complications, and she is ready for discharge. Client education in preparation for discharge began 7 days ago on her admission to the nursing unit. Evaluation of nursing care related to client education is based on evaluation of expected outcomes. Which statement made by the client would indicate that she is ready for discharge?
Correct Answer: C
Rationale: Postoperatively, clients with major abdominal surgery are instructed to avoid driving, riding in the front seat, and wearing seat belts because any sudden impact may injure a fresh incision. She should ride in back seat without a seat belt. Clients should not sit in the tub and allow the incision to soak in water because this may predispose the client to infection. A short, cool shower would be preferable. Allowing soap to come in contact with the incision would not harm it and is frequently used as postoperative wound care at home on discharge from the hospital. Activity instructions include: avoid sitting for long periods and get exercise by walking. Lifting more than 5 lb of weight is also prohibited. The client must also learn her diet. Her husband cooking is probably a temporary measure unless he did the cooking prior to her hospitalization. A statement such as this may indicate the need for further exploration of feelings regarding her illness, dependence, and self-care expectations.
Question 2 of 5
The client is diagnosed with Bell’s palsy. Which intervention should the nurse implement to protect the client’s affected eye?
Correct Answer: A
Rationale: Bell’s palsy causes facial paralysis, impairing eye closure and risking corneal damage. An eye patch at night protects the eye from drying and injury. Corticosteroids reduce inflammation, blinking is encouraged, and antibiotics are not indicated.
Question 3 of 5
The nurse is caring for a client with a history of fibromyalgia. The nurse should expect the client to have:
Correct Answer: A
Rationale: Fibromyalgia causes widespread musculoskeletal pain, often accompanied by fatigue and tender points.
Question 4 of 5
The nurse is caring for a client with a history of angina. Which medication should the nurse anticipate being prescribed for acute chest pain?
Correct Answer: A
Rationale: Nitroglycerin is used for acute angina relief by dilating coronary arteries. Metoprolol, amlodipine, and losartan are for long-term management, not acute pain.
Question 5 of 5
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
Correct Answer: B
Rationale: Adding baby oil to bath water moisturizes skin, relieving pruritus in hepatitis. Warm showers (
A) and hot rinses (
D) may worsen itching, and powder (
C) can dry skin further.