NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of a liver transplant is receiving Tacrolimus (Prograf). The nurse should monitor the client for:
Correct Answer: A
Rationale: Tacrolimus is nephrotoxic, requiring monitoring of renal function (e.g., creatinine). Hyperglycemia is possible but less critical, and hypotension/hair loss are not primary concerns.
Question 2 of 5
The nurse is preparing to administer a dose of gentamicin (Garamycin) IV. Which laboratory value should the nurse check before administration?
Correct Answer: A
Rationale: Gentamicin is nephrotoxic, so serum creatinine is checked to assess kidney function before administration to prevent toxicity. Other labs are less directly related to gentamicin risks.
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 physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?
Correct Answer: B
Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection by improving red blood cell production, reflected by a normal hemoglobin (Hgb) level of 14.2 g/dL.
Question 5 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.