NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client is diagnosed with organic brain disorder. The nursing care should include:
Correct Answer: A
Rationale: An organized, safe environment minimizes confusion and ensures safety for clients with organic brain disorders.
Question 2 of 5
The nurse is caring for a client with a history of asthma. Which medication should the nurse anticipate being ordered for an acute asthma attack?
Correct Answer: A
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks, providing rapid bronchodilation. Prednisone is for long-term control, theophylline is less commonly used, and montelukast is for maintenance therapy.
Question 3 of 5
A client with ovarian cancer is receiving fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?
Correct Answer: A
Rationale: Crystals in IV fluorouracil indicate precipitation, which can cause embolism or infusion issues. The nurse should discard the solution and obtain a new bag. Warming may not dissolve crystals safely, and continuing or discontinuing without replacement is incorrect.
Question 4 of 5
A client with a history of a burn injury is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Avoiding sun exposure protects healing burn skin from UV damage and hyperpigmentation. Harsh soaps, petroleum lotions, and tight clothing can irritate or delay healing.
Question 5 of 5
The nurse is assessing and getting a history from a client treated for depression with a monoamine oxidase (MAO) antidepressant. The most serious side effect associated with this antidepressant and the ingestion of tyramine in aged foods may be:
Correct Answer: A
Rationale: The most serious adverse reactions of MAO inhibitors involve blood pressure and ingestion of tyramine-containing foods, which may provoke a hypertensive crisis. MAO inhibitors cause adverse reactions affecting the central nervous system and serious adverse reactions involving blood pressure. MAO inhibitors affect neurotransmitters and may produce hypotensive reactions, but hypertensive crisis is the primary concern with tyramine. Gastrointestinal side effects may occur, but they are not the most serious adverse reactions.