NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted with kidney disease. Which type of intravenous fluid is likely to be ordered for this client?
Correct Answer: B
Rationale: Isotonic fluids (e.g. 0.9% normal saline) are typically used in kidney disease to maintain fluid balance without overloading or stressing impaired kidneys. Hypertonic or hypotonic fluids may disrupt electrolyte balance and colloids are used for specific indications like shock.
Question 2 of 5
The nurse working in the emergency department realizes that it would be contraindicated to induce vomiting if someone had ingested which of the following?
Correct Answer: D
Rationale: Inducing vomiting after gasoline ingestion is contraindicated due to aspiration risk, which can cause pneumonitis. Ibuprofen (
A), aspirin (
B), and vitamins (
C) are safer to induce vomiting for, if needed.
Question 3 of 5
The nurse is caring for a client with a history of a diabetic foot ulcer. The nurse should:
Correct Answer: B
Rationale: Elevating the foot reduces swelling and promotes healing in a diabetic foot ulcer. Heating pads, soaking, and massage increase infection risk or impair circulation.
Question 4 of 5
A client with a history of rheumatoid arthritis is admitted with complaints of joint swelling. The nurse should give priority to:
Correct Answer: A
Rationale: Anti-inflammatories reduce joint swelling and pain in rheumatoid arthritis, improving function.
Question 5 of 5
The nurse is preparing to administer a dose of gentamicin (Garamycin) IV. Which laboratory value should the nurse check before administration?
Correct Answer: A
Rationale: Gentamicin is nephrotoxic, so serum creatinine is checked to assess kidney function before administration to prevent toxicity. Other labs are less directly related to gentamicin risks.