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
Which of the following age-related changes affect the vision of the elderly client?
Correct Answer: B, C, E
Rationale: Age-related vision changes include decreased lens elasticity (
B), lens discoloration (
C), and enophthalmos (E). Pupil dilation decreases (
A), and eye mobility is unaffected (
D).
Question 3 of 5
A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:
Correct Answer: A
Rationale: Mastitis is a bacterial inflammation of the breast tissue, characterized by marked engorgement, elevated temperature, chills, breast pain, and a red, hardened area.
Question 4 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 5 of 5
A client with a history of a burn injury is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Avoiding sun exposure protects healing burn skin from UV damage and hyperpigmentation. Harsh soaps, petroleum lotions, and tight clothing can irritate or delay healing.