NCLEX-PN
ATI NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?
Correct Answer: 75
Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.
Question 2 of 5
The nurse is planning the care for the client with multiple stage IV pressure ulcers. Which complication results from these pressure ulcers?
Correct Answer: B
Rationale: Stage IV pressure ulcers expose bone, risking osteomyelitis (bone infection), a severe complication.
Question 3 of 5
The nurse is teaching the elderly client about taking oral iron supplements. Which intervention should the nurse include in the teaching?
Correct Answer: C
Rationale: Taking iron between meals enhances absorption, as food reduces efficacy. Antacids interfere, doubling doses risks toxicity, and reclining is unnecessary.
Question 4 of 5
The client with a deficiency of the immune system questions the nurse about the use of ginseng. Which information should the nurse teach the client?
Correct Answer: C
Rationale: Ginseng should not be used continuously (>2 months) due to risks like hypertension or insomnia, especially in immunocompromised clients. Daily dosing, caffeine, or no contraindications are inaccurate.
Question 5 of 5
The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?
Correct Answer: 75
Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.