NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her physician orders that an IV be started with 500 mL D5W mixed with 150 mg of ritodrine stat. The RN prepares the IV solution with the medication. The RN knows that clients receiving the medication ritodrine IV should be observed closely for which one of the following side effects:
Correct Answer: C
Rationale: Ritodrine is a sympathomimetic β2-adrenergic agonist that can cause vasodilation, leading to hypotension. The body compensates by increasing heart rate, resulting in tachycardia.
Question 2 of 5
A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?
Correct Answer: A
Rationale: Taking a deep breath or humming (Valsalva maneuver) during chest tube removal increases intrathoracic pressure, preventing air entry. Holding breath for two minutes (
B) is excessive, exhaling (
C) risks pneumothorax, and deep breathing (
D) is unsafe.
Question 3 of 5
A mother who is breast-feeding her newborn asks the RN, 'How can I express milk from my breasts manually?' The RN tells her that the correct method for manual milk expression includes using the thumb and the index finger to:
Correct Answer: D
Rationale: Compressing and releasing at the outer border of the areola targets the milk sinuses, effectively expressing milk without causing trauma.
Question 4 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 5 of 5
A client with a history of a liver transplant is receiving Tacrolimus (Prograf). The nurse should monitor the client for:
Correct Answer: A
Rationale: Tacrolimus is nephrotoxic, requiring monitoring of renal function (e.g., creatinine). Hyperglycemia is possible but less critical, and hypotension/hair loss are not primary concerns.