NCLEX Questions, ATI NCLEX-RN Practice Questions Questions,

Extract:

Question 1 of 5

A client with cancer received platelet infusions 24 hours ago.

Correct Answer: D

Rationale: Platelet infusions aim to improve clotting. Decreased oozing from an IV site (
D) indicates effective platelet function. Hemoglobin (
A), temperature (
B), and WBC (
C) are not directly affected.

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:

A. Decreased glomerular filtration and increased tubular absorption B. Decreased estrogen levels C. Decreased progesterone levels D. Increased human placental lactogen levels

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

The nurse is caring for a client with a diagnosis of preeclampsia. Which intervention is most appropriate?

A. Administer magnesium sulfate B. Monitor blood pressure C. Administer antihypertensives D. All of the above

Correct Answer: D

Rationale: Magnesium sulfate prevents seizures blood pressure monitoring tracks hypertension and antihypertensives (e.g. hydralazine) manage severe hypertension in preeclampsia. All interventions are appropriate.

Question 4 of 5

A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

A. Control the delivery by guiding expulsion of fetus B. Leave the room to call the physician C. Push against the perineum to stop delivery D. Cross client's legs tightly

Correct Answer: A

Rationale: Guiding the fetus's expulsion during a precipitous delivery minimizes injury and perineal trauma.

Question 5 of 5

A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks' gestation, all of the following observations are made. Which would require intervention?

A. Weight gain of 2 kg in 4 weeks B. Blood pressure of 128/78 C. Subjective data: shortness of breath after showering D. Ankle edema reported present in late afternoon and evenings

Correct Answer: C

Rationale: This is not an excessive weight gain indicative of fluid retention. The blood pressure is within normal range. Showering should not cause shortness of breath. This could be a sign of cardiac decompensation. Dependent ankle edema is normal late in the day among pregnant women. Progressive edema would be a dangerous development.