NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 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 2 of 5
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include:
Correct Answer: B
Rationale: Eye pain is a symptom of hemorrhage, and itching is associated with infection. The other options include symptoms not typically related to eye infection or hemorrhage.
Question 3 of 5
A 37-year-old client has been taking antipsychotic medication for the past 10 days. The nurse observes her walking with a shuffling gait and postural rigidity and notes a masklike expression on her face. Which side effect is this client exhibiting?
Correct Answer: B
Rationale: This answer is incorrect. Dystonia refers to severe, painful muscle contractions. This answer is correct. Parkinsonism commonly occurs approximately 1-2 weeks after initiation of antipsychotic drug therapy. Traditional signs are masklike facies, postural rigidity, shuffling gait, and resting tremor. This answer is incorrect. Tardive dyskinesia is characterized by involuntary muscle movements of the face, jaw, and tongue. This answer is incorrect. Akathisia is motor restlessness.
Question 4 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 5 of 5
In assessing a person after experiencing spousal abuse, which need has the highest priority?
Correct Answer: C
Rationale: Assessing the level of anxiety, coping responses, and support systems is very important, but not of highest priority at this time. A history of physical abuse is an important part of assessment. The nurses must also always ask if there is abuse of the children. Although all of these answers are very important in assessment, the highest priority is assessment of suicide potential, because this could cause the greatest harm to the client. Feeling there is no other way out, abused spouses may consider suicide. The spouse may be self-medicating herself with alcohol or drugs to escape an awful situation. The abuser may also be abusing drugs or alcohol. If this is so, the nurse should encourage the spouse to seek counseling and not to return to the home.