NCLEX Questions, ATI NCLEX-RN Practice Questions Questions,

Extract:

Question 1 of 5

The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Methylergonovine (Methergine) is an oxytocic used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Magnesium sulfate is for preeclampsia terbutaline is a tocolytic and betamethasone is for fetal lung maturity.

Question 2 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 3 of 5

The nurse is caring for a client with a history of a stroke who has hemiplegia. The nurse should:

A. Position the client on the affected side B. Encourage active range of motion on the affected side C. Provide a high-calorie diet D. Use a draw sheet for repositioning

Correct Answer: D

Rationale: Using a draw sheet for repositioning prevents skin shear and injury in a hemiplegic client. Positioning varies, active motion is limited, and diet depends on needs.

Question 4 of 5

The best indicator of peripheral edema is determined by:

A. Weighing the client daily B. Measuring the extremity C. Measuring the intake and output D. Checking for pitting

Correct Answer: D

Rationale: Checking for pitting (indentation after pressing the skin) is the most direct and reliable indicator of peripheral edema. While weight extremity measurement and intake/output are relevant pitting specifically confirms edema.

Question 5 of 5

A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:

A. Instruct the client to cough deeply to re-expand her lung B. Put on sterile gloves and replace the tube C. Apply a petrolatum dressing over the site D. Auscultate the lung to determine if she needs the tube replaced

Correct Answer: C

Rationale: This action is inappropriate. Coughing will not re-expand the lung and could result in further harm. This action is a medical procedure, not a nursing procedure. An occlusive dressing will prevent further air leak until the physician institutes further treatment. The decision to reinsert the tube is a medical decision, not a nursing one.