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
A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
Correct Answer: B
Rationale: Facial burns can cause swelling and laryngeal edema compromising the airway within hours. This is the most immediate life-threatening concern. Hypovolemia hypernatremia and hyperkalemia are also risks but are less urgent in the first two hours.
Question 3 of 5
Which action can be delegated to the licensed practical nurse?
Correct Answer: A, B, E
Rationale: LPNs can insert catheters (
A), perform tracheostomy care (
B), and change sterile dressings (E) within their scope. Initiating blood transfusions (
C) and irrigating PICC lines (
D) require RN-level assessment and monitoring.
Question 4 of 5
A 35-year-old client is admitted to the hospital for elective tubal ligation. While the nurse is doing preoperative teaching, the client says, 'The anesthesiologist said she was going to give me balanced anesthesia. What exactly is that?' The best explanation for the nurse to give the client would be that balanced anesthesia:
Correct Answer: D
Rationale: Regional anesthesia does not produce loss of consciousness and is indicated for excision of moles, cysts, and endoscopic surgeries. Varying amounts of anesthetic agents are used when employing balanced anesthesia. Amounts depend on age, weight, condition of the client, and surgical procedure. General anesthesia is a drug-induced depression of the central nervous system that produces loss of consciousness and decreased muscle activity. Balanced anesthesia is a combination of a number of anesthetic agents that produce a smooth induction, appropriate depth of anesthesia, and appropriate muscle relaxation with minimal complications.
Question 5 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.