NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of asthma is experiencing an acute exacerbation. Which medication would the nurse expect to administer first?
Correct Answer: A
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma exacerbation, rapidly relieving bronchospasm. Prednisone (
B), Ipratropium (
C), and Montelukast (
D) are adjunctive or long-term therapies.
Question 2 of 5
A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:
Correct Answer: C
Rationale: Regular insulin peaks 2-4 hours after administration, so 12 noon is the expected peak time for a 9:00 AM dose.
Question 3 of 5
During an intake assessment, the nurse asks the client if he has an advanced directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advanced directive clarifies a client’s wishes for medical care, reducing confusion and conflict among family or healthcare providers, especially in critical situations. It does not address funeral plans, allow staff to make decisions, or permit euthanasia.
Question 4 of 5
The nurse is caring for a client with a history of angina. Which medication should the nurse anticipate being prescribed for acute chest pain?
Correct Answer: A
Rationale: Nitroglycerin is used for acute angina relief by dilating coronary arteries. Metoprolol, amlodipine, and losartan are for long-term management, not acute pain.
Question 5 of 5
The nurse is caring for a client with pancreatitis. Which of the following IV medications would the nurse expect the physician to prescribe for control of pain in this client?
Correct Answer: D
Rationale: Meperidine is the drug of choice for clients with pancreatitis. It will not cause spasms at the sphincter of Oddi, which can lead to increased pancreatic pain.