NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
Correct Answer: B
Rationale: Apraxia is the inability to perform purposeful movements or use objects correctly such as using a toothbrush to brush hair. Agnosia involves sensory misrecognition anomia is difficulty naming objects and aphasia affects language.
Question 2 of 5
The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?
Correct Answer: C
Rationale: Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. Thyroid agents decrease digoxin levels. Quinidine increases digoxin levels dramatically. Theophylline is not noted to have an effect on digoxin levels.
Question 3 of 5
Which tasks should not be delegated to the unlicensed assistive personnel?
Correct Answer: C
Rationale: Unlicensed assistive personnel (UAP) can perform basic care tasks like bathing (
A), perineal care (E), and assisting with feeding under supervision (
B). Basic life support (
D) may be within their scope if trained. However, administering parenteral medications (
C) requires assessment and judgment, which is beyond UAP scope and reserved for licensed nurses.
Question 4 of 5
The nurse is caring for a client with a history of a mastectomy. The client complains of arm swelling. The nurse should:
Correct Answer: B
Rationale: Arm swelling post-mastectomy suggests lymphedema, and elevating the arm reduces fluid accumulation. Warm compresses and massage may worsen swelling, and notification is secondary.
Question 5 of 5
A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:
Correct Answer: A
Rationale: Guiding the fetus's expulsion during a precipitous delivery minimizes injury and perineal trauma.