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
A client is admitted with kidney disease. Which type of intravenous fluid is likely to be ordered for this client?
Correct Answer: B
Rationale: Isotonic fluids (e.g. 0.9% normal saline) are typically used in kidney disease to maintain fluid balance without overloading or stressing impaired kidneys. Hypertonic or hypotonic fluids may disrupt electrolyte balance and colloids are used for specific indications like shock.
Question 3 of 5
The nurse is caring for a client with a suspected pulmonary embolism. Which diagnostic test would the nurse expect to be ordered?
Correct Answer: B
Rationale: CT pulmonary angiography is the gold standard for diagnosing pulmonary embolism, visualizing clots in the lungs. Chest X-ray (
A), ECG (
C), and ABG (
D) are supportive but less specific.
Question 4 of 5
To prevent deformities of the knee joints in a client with an exacerbation of rheumatoid arthritis, the nurse should:
Correct Answer: C
Rationale: Encouraging joint motion within pain limits prevents stiffness and deformities in rheumatoid arthritis. Bed rest, discouraging motion, or prolonged immobilization can worsen contractures.
Question 5 of 5
The nurse is collecting a nutritional history on a 28-year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:
Correct Answer: C
Rationale: Eating chalk is not related to calcium and its absorption. Poor nutritional habits may result in increased discomfort during premenstrual days, but this is not a primary reason for the client to stop eating chalk. Premenstrual discomfort has not been mentioned. Iron is rendered insoluble and is excreted through the gastrointestinal tract. There is no competition between the two nutrients.