NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of incompetent cervix. Which intervention is most appropriate?
Correct Answer: B
Rationale: Incompetent cervix where the cervix dilates prematurely is treated with cerclage (a stitch to reinforce the cervix).
Tocolytics may be adjunctive fetal distress monitoring is secondary and antibiotics are not routinely indicated.
Question 2 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Naloxone is an opioid antagonist used to reverse respiratory depression, a potential complication of epidural opioid administration. Ketorolac (
A) is an NSAID, Diphenhydramine (
C) is an antihistamine, and Promethazine (
D) is an antiemetic, none of which address opioid overdose.
Question 3 of 5
The nurse is caring for a client with a history of a stroke who has hemiplegia. The nurse should:
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
A client with metastatic cancer of the lung has just been told the prognosis by the oncologist. The nurse hears the client state, "I don't believe the doctor; I think he has me confused with another patient."
Correct Answer: A
Rationale: The client's statement reflects denial, the first stage of Kubler-Ross' model, where patients refuse to accept a terminal prognosis. Anger (
B), depression (
C), and bargaining (
D) involve different emotional responses.
Question 5 of 5
The nurse is preparing to administer a dose of morphine sulfate IV to a client for pain. Which assessment is most important before administration?
Correct Answer: A
Rationale: Morphine, an opioid, can cause respiratory depression. Assessing the respiratory rate is critical before administration to ensure it is above 12 breaths per minute, preventing overdose risk. Other vital signs are monitored but are less critical.