NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
Correct Answer: B
Rationale: Conception is most likely during ovulation triggered by a surge in luteinizing hormone (LH). Low estrogen thin endometrium or low progesterone are not associated with ovulation.
Question 2 of 5
A four-year-old with cystic fibrosis has a prescription for Creon (pancrelipase). The medication is given to:
Correct Answer: C
Rationale: Creon (pancrelipase) replaces pancreatic enzymes in cystic fibrosis patients, aiding digestion of fats, proteins, and carbohydrates. It does not affect respiratory secretions, clotting, or nasal polyps.
Question 3 of 5
A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?
Correct Answer: A
Rationale: Taking a deep breath or humming (Valsalva maneuver) during chest tube removal increases intrathoracic pressure, preventing air entry. Holding breath for two minutes (
B) is excessive, exhaling (
C) risks pneumothorax, and deep breathing (
D) is unsafe.
Question 4 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 5 of 5
The nurse is caring for a client with a history of a mastectomy. The client complains of arm swelling. The nurse should:
Correct Answer: B
Rationale: Arm swelling post-mastectomy suggests lymphedema, and elevating the arm reduces fluid accumulation. Warm compresses and massage may worsen swelling, and notification is secondary.