NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of a C4 spinal cord injury is being prepared for discharge. Before discharge, the nurse should make sure that the client can:
Correct Answer: C
Rationale: A C4 spinal cord injury causes tetraplegia, limiting upper extremity function. Transferring to a wheelchair is critical for mobility and discharge readiness, often requiring adaptive techniques.
Question 2 of 5
A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?
Correct Answer: A
Rationale: Taking a deep breath or humming (Valsalva maneuver) during chest tube removal increases intrathoracic pressure, preventing air entry. Holding breath for two minutes (
B) is excessive, exhaling (
C) risks pneumothorax, and deep breathing (
D) is unsafe.
Question 3 of 5
As a postoperative cholecystectomy client completes tomorrow's dinner menu, the nurse knows that one of the following meal choices will best provide the essential vitamin(s) necessary for proper tissue healing?
Correct Answer: D
Rationale: This meal choice provides more of the vitamins A, D, and K than of vitamin C. This meal choice provides more of the vitamins A, B12, and D than of vitamin C. This meal choice provides more of the vitamins A, B1 (thiamine), niacin, and microminerals than of vitamin C. This meal choice provides foods rich in vitamin C, which are essential in tissue healing.
Question 4 of 5
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
Correct Answer: B
Rationale: Adding baby oil to bath water moisturizes skin, relieving pruritus in hepatitis. Warm showers (
A) and hot rinses (
D) may worsen itching, and powder (
C) can dry skin further.
Question 5 of 5
A mother who is breast-feeding her newborn asks the RN, 'How can I express milk from my breasts manually?' The RN tells her that the correct method for manual milk expression includes using the thumb and the index finger to:
Correct Answer: D
Rationale: Compressing and releasing at the outer border of the areola targets the milk sinuses, effectively expressing milk without causing trauma.