NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

Home > NCLEX-RN > ATI NCLEX-RN Practice Questions
NCLEX-RN Test Bank

ATI NCLEX-RN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for a client with a diagnosis of preeclampsia. Which intervention is most appropriate?

Correct Answer: D

Rationale: Magnesium sulfate prevents seizures blood pressure monitoring tracks hypertension and antihypertensives (e.g. hydralazine) manage severe hypertension in preeclampsia. All interventions are appropriate.

Question 2 of 5

A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect. Based on his developmental stage, the nurse:

Correct Answer: B

Rationale: A toddler is not capable of conceptualizing about the inside of his body and is concerned about body intactness; therefore, diagrams would not be useful. Also, the previous evening is too far from the procedure for the toddler to remember the instructions. A simple explanation the morning of the procedure is the best developmental strategy to use, because it focuses on the toddler's need for parental support, body intactness, and short attention span. A relationship between the nurse and the child needs to develop. Also, misinformation may be given to the child if the parents explain the procedure to the child. The parents are the child's support system and need to be there to strengthen the child.

Question 3 of 5

The nurse is caring for a client with a history of a diabetic foot ulcer. The nurse should:

Correct Answer: B

Rationale: Elevating the foot reduces swelling and promotes healing in a diabetic foot ulcer. Heating pads, soaking, and massage increase infection risk or impair circulation.

Question 4 of 5

The nurse is caring for the client with a mastectomy. Which action would be contraindicated?

Correct Answer: A

Rationale: Taking blood pressure on the mastectomy side is contraindicated due to the risk of lymphedema from compromised lymphatic drainage post-surgery. Elevating the arm, positioning on the unaffected side, and fingersticks on the unaffected side are safe.

Question 5 of 5

A two-year-old is being evaluated for hearing loss. Which finding in the child's history is likely to be a significant factor?

Correct Answer: D

Rationale: Meningitis treated with garamycin (gentamicin) is a significant risk factor for hearing loss as gentamicin is ototoxic and meningitis can damage auditory nerves. The other factors are less directly associated with hearing impairment.

Similar Questions

A male client has experienced low back pain for several years. He is the primary support of his wife and six children. Although he would qualify for disability, he plans to continue his employment as long as possible. His back pain has increased recently, and he is unable to control it with non-steroidal anti-inflammatory agents. He refuses surgery and cannot take narcotics and remain alert enough to concentrate at work. His physician has suggested application of a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following is an appropriate rationale for using a TENS unit for relief of pain?
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?
A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?
A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?
The nurse is caring for a client with a history of a seizure disorder who is receiving Lamotrigine (Lamictal). The nurse should monitor the client for:

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days