NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:
Correct Answer: A
Rationale: Mastitis is a bacterial inflammation of the breast tissue, characterized by marked engorgement, elevated temperature, chills, breast pain, and a red, hardened area.
Question 2 of 5
A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:
Correct Answer: A
Rationale: Mastitis is a bacterial inflammation of the breast tissue, characterized by marked engorgement, elevated temperature, chills, breast pain, and a red, hardened area.
Question 3 of 5
The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma. Neomycin decreases serum ammonia levels by:
Correct Answer: A
Rationale: Neomycin interferes with protein synthesis in the bacterial cell, causing bacterial death. Neomycin reduces the growth of the ammonia-producing bacteria in the intestines and is used for the treatment of hepatic coma.
Question 4 of 5
The nurse is caring for a client with scalding burns across the face, neck, upper half of the anterior chest, and entire right arm.
Correct Answer: 32
Rationale: Rule of nines: face (4.5%), neck (4.5%), upper half anterior chest (9%), right arm (9%) = 4.5 + 4.5 + 9 + 9 = 27%. The closest answer is 32% (
C), possibly due to rounding or partial overlap.
Question 5 of 5
A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-eight hours after the burn injury, the nurse must begin to monitor the child for which one of the following complications?
Correct Answer: B
Rationale: Fluid volume deficit resulting from fluid shifts to the interstitial spaces occurs in the first 48 hours. Forty-eight hours to 72 hours after the burn injury and fluid resuscitation, capillary permeability is restored and fluid requirements decrease. Interstitial fluid returns rapidly to the vascular compartment, and the nurse must monitor the child for signs and symptoms of hypervolemia. Increased cardiac output results as fluids shift back to the vascular compartment. Hypertension is the result of hypervolemia.