NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:
Correct Answer: B
Rationale: This goal is helpful, but rest is essential during the acute phase. Rest is essential for healing to occur and for pain to be relieved. This goal is important, but rest is essential. This goal should be part of the plan of care, but it is not the priority during the acute phase.
Question 2 of 5
A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, on examining the client, suspects that she is approximately 11 weeks pregnant. The pregnancy is positively confirmed by finding:
Correct Answer: B
Rationale: Chadwick's sign is a presumptive sign of pregnancy. The coloration may not subside from past pregnancy or could be caused by other situations that create vasocongestion. FHR (movement) observed DISTINCT on ultrasound is a positive diagnosis of pregnancy. Enlargement of the uterus may be due to fibroids or infection. It is considered a probable sign. Breast tenderness and enlargement is a presumptive sign because it may be due to other conditions, such as premenstrual changes.
Question 3 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 4 of 5
In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:
Correct Answer: C
Rationale: Lidocaine is the drug of choice to treat ectopic ventricular beats.
Question 5 of 5
The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory test is most likely to be ordered?
Correct Answer: D
Rationale: Preeclampsia requires monitoring platelet count (for thrombocytopenia) liver enzymes (for HELLP syndrome) and urinalysis (for proteinuria). All tests are essential to assess disease severity and complications.