NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:
Correct Answer: C
Rationale: This action is inappropriate. Coughing will not re-expand the lung and could result in further harm. This action is a medical procedure, not a nursing procedure. An occlusive dressing will prevent further air leak until the physician institutes further treatment. The decision to reinsert the tube is a medical decision, not a nursing one.
Question 2 of 5
The nurse is caring for a client with a history of asthma. Which medication should the nurse anticipate being ordered for an acute asthma attack?
Correct Answer: A
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks, providing rapid bronchodilation. Prednisone is for long-term control, theophylline is less commonly used, and montelukast is for maintenance therapy.
Question 3 of 5
A client with a history of gastric ulcer is admitted with complaints of epigastric pain. The nurse should give priority to:
Correct Answer: B
Rationale: Epigastric pain in gastric ulcer may indicate bleeding, so monitoring for bleeding is the priority to prevent complications like anemia.
Question 4 of 5
A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:
Correct Answer: A
Rationale: At about 30-32 weeks' gestation, the amounts of the surfactants, lecithin, and sphingomyelin become equal. As the fetal lungs mature, the concentration of lecithin begins to exceed that of sphingomyelin. At 35 weeks, the L/S ratio is 2:1. Respiratory distress syndrome is unlikely if birth occurs at this time.
Question 5 of 5
A male client has experienced low back pain for several years. He is the primary support of his wife and six children. Although he would qualify for disability, he plans to continue his employment as long as possible. His back pain has increased recently, and he is unable to control it with non-steroidal anti-inflammatory agents. He refuses surgery and cannot take narcotics and remain alert enough to concentrate at work. His physician has suggested application of a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following is an appropriate rationale for using a TENS unit for relief of pain?
Correct Answer: C
Rationale: TENS units do not have this effect, but whirlpool therapy does. TENS units do not produce endogenous opioids, only the body can do that. TENS units do work based on the gate-control theory of pain control. TENS units do not have this effect, but possibly changing the client's position would.