NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):
Correct Answer: C
Rationale: Iodine is not used as a contrast medium for MRI. It is important to inquire about allergy to seafood if the client is to have an arteriogram or enhanced computer tomography. MRI is safe if seizures are under control. It is more important to inquire about movable metal implants. Clients with movable metal implants such as shrapnel or aneurysm clips or clients with permanent pacemakers or implanted pumps can be traumatized during an MRI. Nonmovable metal prostheses or hardware will not cause trauma during an MRI.
Question 2 of 5
The client is prescribed albuterol (Proventil) for asthma. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Albuterol, a beta-agonist, stimulates the sympathetic nervous system, causing tremors as a common side effect. Tachycardia (not bradycardia), hypertension, and diarrhea are more likely than hypotension or constipation.
Question 3 of 5
A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH 7.30, PCO2 51 mm Hg, HCO3 18 mEq/L, PaO2 84 mm Hg. The nurse would interpret these results as:
Correct Answer: D
Rationale: Compensated metabolic alkalosis would be reflected by the following: pH within normal limit (7.35-7.45), PCO2 >45 mm Hg, HCO3 >26 mEq/L. Respiratory acidosis would be reflected by the following: pH <7.35, PCO2 >45 mm Hg, HCO3 within normal limits (22-26 mEq/L). Partially compensated metabolic alkalosis would be reflected by the following: pH >7.45, PCO2 >45 mm Hg, HCO3 >26 mEq/L. Combined respiratory and metabolic acidosis would be reflected by the following: pH <7.35, PCO2 >45 mm Hg, HCO3 <22 mEq/L.
Question 4 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 5 of 5
A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, on examining the client, suspects that she is approximately 11 weeks pregnant. The pregnancy is positively confirmed by finding:
Correct Answer: B
Rationale: Chadwick's sign is a presumptive sign of pregnancy. The coloration may not subside from past pregnancy or could be caused by other situations that create vasocongestion. FHR (movement) observed DISTINCT on ultrasound is a positive diagnosis of pregnancy. Enlargement of the uterus may be due to fibroids or infection. It is considered a probable sign. Breast tenderness and enlargement is a presumptive sign because it may be due to other conditions, such as premenstrual changes.