NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of a burn injury is being discharged. The nurse should teach the client to:
Correct Answer: B
Rationale: Loose clothing prevents irritation and promotes healing in burn injuries. Petroleum lotions, harsh soaps, and air exposure can delay healing or cause infection.
Question 2 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 3 of 5
The nurse notes that a post-operative client's respirations have dropped from 14 to 6 breaths per minute. The nurse administers Narcan (naloxone) per standing order. Following administration of the medication, the nurse should assess the client for:
Correct Answer: D
Rationale: Narcan reverses opioid-induced respiratory depression but can precipitate withdrawal, causing sudden pain in opioid-dependent clients. Pupillary changes, vomiting, and wheezing are less immediate concerns.
Question 4 of 5
The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which medication is most likely to be ordered?
Correct Answer: B
Rationale: Methylergonovine (Methergine) is an oxytocic used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Magnesium sulfate is for preeclampsia terbutaline is a tocolytic and betamethasone is for fetal lung maturity.
Question 5 of 5
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect. Based on his developmental stage, the nurse:
Correct Answer: B
Rationale: A toddler is not capable of conceptualizing about the inside of his body and is concerned about body intactness; therefore, diagrams would not be useful. Also, the previous evening is too far from the procedure for the toddler to remember the instructions. A simple explanation the morning of the procedure is the best developmental strategy to use, because it focuses on the toddler's need for parental support, body intactness, and short attention span. A relationship between the nurse and the child needs to develop. Also, misinformation may be given to the child if the parents explain the procedure to the child. The parents are the child's support system and need to be there to strengthen the child.