NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory test is most likely to be ordered?
Correct Answer: D
Rationale: Preeclampsia requires monitoring platelet count (for thrombocytopenia) liver enzymes (for HELLP syndrome) and urinalysis (for proteinuria). All tests are essential to assess disease severity and complications.
Question 2 of 5
A client has chronic obstructive pulmonary disease. She is slowly losing weight, and her daughter is very concerned about increasing her nutrition. The nurse helps the daughter devise a plan of care for her mother. The plan of care should include which of the following interventions to promote nutrition?
Correct Answer: A
Rationale: Clients with respiratory diseases are generally mouth breathers. Cleaning the oral cavity may improve the client's appetite, increase her feelings of well-being, and remove the taste and odor of sputum. Milk causes thick sputum; therefore, milk products would not be beneficial for this client. Exercise prior to a meal would require increased O2 consumption and most likely would decrease the client's ability to eat. Clients with respiratory diseases need increased fluid to liquefy secretions.
Question 3 of 5
On the third postpartum day, a client complains of extremely tender breasts. On palpation, the nurse notes a very firm, shiny appearance to the breasts and some milk leakage. She is bottle feeding. The nurse should initially recommend to her to:
Correct Answer: C
Rationale: Judicious use of analgesics is appropriate with breast engorgement; however, mechanical suppression would be the initial recommendation. Breast-feeding every 1½-3 hours will reduce and/or prevent breast engorgement. Breast-feeding will promote milk production, which will compound the distention and stasis of the venous circulation of engorgement in a bottle-feeding mother. Ice packs reduce milk flow while the snug, supportive bra provides mechanical suppression and decreases pulling on Cooper's ligament. In addition, breast binders or ace bandages may be used for some women. Warmth promotes milk production and may stimulate the let-down reflex. These measures would contribute to the venous congestion of engorgement.
Question 4 of 5
A client with a history of a liver transplant is receiving Tacrolimus (Prograf). The nurse should monitor the client for:
Correct Answer: A
Rationale: Tacrolimus is nephrotoxic, requiring monitoring of renal function (e.g., creatinine). Hyperglycemia is possible but less critical, and hypotension/hair loss are not primary concerns.
Question 5 of 5
Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?
Correct Answer: D
Rationale: 6-Mercaptopurine is used for Crohn's disease, not ulcerative colitis, so the nurse should question its order.