NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:
Correct Answer: B
Rationale: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%. Partial- and full-thickness burns to the right arm and trunk approximate 35% TBSA.
Question 2 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 3 of 5
A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:
Correct Answer: A
Rationale: Guiding the fetus's expulsion during a precipitous delivery minimizes injury and perineal trauma.
Question 4 of 5
Which ECG finding is most likely to be present in the client with a potassium of 6.0 mEq/L?
Correct Answer: C
Rationale: Hyperkalemia (potassium 6.0 mEq/L) typically causes peaked T waves on an ECG due to altered cardiac repolarization. Depressed S-T segments and U waves are more associated with hypokalemia and T/U wave fusion is less common.
Question 5 of 5
The physician has ordered atropine sulfate 0.4 milligrams IM before surgery. The medication is supplied in 0.8 milligrams per milliliter. How much medication should the nurse prepare to administer?
Correct Answer: 0.5
Rationale:
To calculate: 0.4 mg desired ÷ 0.8 mg/mL = 0.5 mL. The nurse should prepare 0.5 mL of atropine sulfate.