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
Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:
Correct Answer: D
Rationale: There is a rise in glomerular filtration rate in the kidneys in conjunction with decreased tubular glucose reabsorption, resulting in glycosuria. Insulin is inhibited by increased levels of estrogen. Insulin is inhibited by increased levels of progesterone. Human placental lactogen levels increase later in pregnancy. This hormonal antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the circulation of free fatty acids.
Question 3 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 4 of 5
A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?
Correct Answer: A
Rationale: Whole blood is the transfusion component of choice when large volumes of blood need to be replaced. Whole blood contains all blood components that are lost during active bleeding.
Question 5 of 5
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?
Correct Answer: D
Rationale: Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security, encouraging eating.