NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:
Correct Answer: A
Rationale: At about 30-32 weeks' gestation, the amounts of the surfactants, lecithin, and sphingomyelin become equal. As the fetal lungs mature, the concentration of lecithin begins to exceed that of sphingomyelin. At 35 weeks, the L/S ratio is 2:1. Respiratory distress syndrome is unlikely if birth occurs at this time.
Question 2 of 5
A client with a history of gastric ulcer is admitted with complaints of epigastric pain. The nurse should give priority to:
Correct Answer: B
Rationale: Epigastric pain in gastric ulcer may indicate bleeding, so monitoring for bleeding is the priority to prevent complications like anemia.
Question 3 of 5
Which of the following nursing orders has the highest priority for a child with epiglottitis?
Correct Answer: B
Rationale: Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside.
Question 4 of 5
The best indicator of peripheral edema is determined by:
Correct Answer: D
Rationale: Checking for pitting (indentation after pressing the skin) is the most direct and reliable indicator of peripheral edema. While weight extremity measurement and intake/output are relevant pitting specifically confirms edema.
Question 5 of 5
The nurse is collecting a nutritional history on a 28-year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:
Correct Answer: C
Rationale: Eating chalk is not related to calcium and its absorption. Poor nutritional habits may result in increased discomfort during premenstrual days, but this is not a primary reason for the client to stop eating chalk. Premenstrual discomfort has not been mentioned. Iron is rendered insoluble and is excreted through the gastrointestinal tract. There is no competition between the two nutrients.