NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
A murmur has been discovered during the routine physical examination of a 1-year-old child. The parent is extremely concerned about this diagnosis. Which of the following explanations by the nurse indicates understanding of this dysfunction?
Correct Answer: B
Rationale: Because the left atrial pressure is greater than right atrial pressure, oxygenated blood flows from the left to the right atria. Because of the risk of pulmonary obstructive diseases and congestive heart failure later in life, surgery is usually performed between age 4 and 6 years, with essentially no operative mortality or postoperative complications. Many ventricular septal defects close spontaneously (20-60%) as a result of growth and proliferation of the muscular septum or formation of a membrane across the opening. This management is usually recommended with children with mild pulmonary stenosis.
Question 2 of 5
When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:
Correct Answer: D
Rationale: Tube feedings should be withheld and physician notified for residual volumes of 50-100 mL.
Question 3 of 5
The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?
Correct Answer: D
Rationale: Sitting or high Fowler’s position maximizes lung expansion by reducing diaphragm pressure in myasthenia gravis. Supine (
A), side-lying (
B), and prone (
C) positions restrict breathing.
Question 4 of 5
The client is admitted with a diagnosis of preeclampsia. Which symptom is most characteristic?
Correct Answer: A
Rationale: Proteinuria is a hallmark of preeclampsia reflecting renal involvement alongside hypertension. Fetal macrosomia painful bleeding and fever are not characteristic of this condition.
Question 5 of 5
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?
Correct Answer: D
Rationale: Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security, encouraging eating.