NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
During an intake assessment, the nurse asks the client if he has an advanced directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advanced directive clarifies a client’s wishes for medical care, reducing confusion and conflict among family or healthcare providers, especially in critical situations. It does not address funeral plans, allow staff to make decisions, or permit euthanasia.
Question 2 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Naloxone is an opioid antagonist used to reverse respiratory depression, a potential complication of epidural opioid administration. Ketorolac (
A) is an NSAID, Diphenhydramine (
C) is an antihistamine, and Promethazine (
D) is an antiemetic, none of which address opioid overdose.
Question 3 of 5
A mother came to the pediatric clinic with her 17-month-old child. The mother would like to begin toilet training. What should the nurse teach her about implementing toilet training?
Correct Answer: B
Rationale: Giving her toys will distract her and interfere with toilet training because of inappropriate reinforcement. A child-sized toilet seat or training potty gives a child a feeling of security. She should use words that are age appropriate for the child. Children should be praised for cooperative behavior and/or successful evacuation.
Question 4 of 5
The nurse is preparing a teaching session for a client with hepatitis B who has been prescribed lamivudine (Epivir). Which does the nurse include as adverse effects of the drug?
Correct Answer: A, B, D
Rationale: Lamivudine side effects include nausea (
A), vomiting (
B), and neutropenia (
D). Steatorrhea (
C) and amnesia (E) are not common.
Question 5 of 5
During an intake assessment, the nurse asks the client if he has an advanced directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advanced directive clarifies a client’s wishes for medical care, reducing confusion and conflict among family or healthcare providers, especially in critical situations. It does not address funeral plans, allow staff to make decisions, or permit euthanasia.