NCLEX Questions, ATI NCLEX-RN Practice Questions Questions,

Extract:

Question 1 of 5

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

Correct Answer: B

Rationale: Adding baby oil to bath water moisturizes skin, relieving pruritus in hepatitis. Warm showers (
A) and hot rinses (
D) may worsen itching, and powder (
C) can dry skin further.

Question 2 of 5

The nurse is caring for a client with a radium implant for the treatment of cervical cancer. While caring for the client with a radioactive implant, the nurse should:

A. Provide emotional support by spending additional time with the client. B. Stand at the foot of the bed when talking to the client. C. Avoid handling items used by the client. D. Wear a badge to monitor the amount of time spent in the client's room.

Correct Answer: D

Rationale: Wearing a radiation badge monitors exposure during care of a client with a radium implant, ensuring safety. Prolonged time, standing at the bed's foot, or avoiding items is less practical.

Question 3 of 5

A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-eight hours after the burn injury, the nurse must begin to monitor the child for which one of the following complications?

A. Fluid volume deficit B. Fluid volume excess C. Decreased cardiac output D. Severe hypotension

Correct Answer: B

Rationale: Fluid volume deficit resulting from fluid shifts to the interstitial spaces occurs in the first 48 hours. Forty-eight hours to 72 hours after the burn injury and fluid resuscitation, capillary permeability is restored and fluid requirements decrease. Interstitial fluid returns rapidly to the vascular compartment, and the nurse must monitor the child for signs and symptoms of hypervolemia. Increased cardiac output results as fluids shift back to the vascular compartment. Hypertension is the result of hypervolemia.

Question 4 of 5

The nurse working in the emergency department realizes that it would be contraindicated to induce vomiting if someone had ingested which of the following?

A. Ibuprofen B. Aspirin C. Vitamins D. Gasoline

Correct Answer: D

Rationale: Inducing vomiting after gasoline ingestion is contraindicated due to aspiration risk, which can cause pneumonitis. Ibuprofen (
A), aspirin (
B), and vitamins (
C) are safer to induce vomiting for, if needed.

Question 5 of 5

The nurse is preparing a teaching session for a client with hepatitis B who has been prescribed lamivudine (Epivir). Which does the nurse include as adverse effects of the drug?