NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 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 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:
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
The nurse is teaching a client with a history of hypertension about lifestyle modifications. The nurse should tell the client to:
Correct Answer: A
Rationale: Reducing stress lowers blood pressure in hypertension, improving cardiovascular health.
Question 4 of 5
The nurse is caring for a client with a suspected pulmonary embolism. Which diagnostic test would the nurse expect to be ordered?
Correct Answer: B
Rationale: CT pulmonary angiography is the gold standard for diagnosing pulmonary embolism, visualizing clots in the lungs. Chest X-ray (
A), ECG (
C), and ABG (
D) are supportive but less specific.
Question 5 of 5
A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?
Correct Answer: D
Rationale: Altered nutrition occurs owing to the fatigue from decreased cardiac output associated with congestive heart failure. The decreased intake occurs due to fatigue from the altered cardiac output. Fatigue occurs due to the decreased cardiac output. The ineffective action of the myocardium leads to inadequate O2 to the tissues, which produces activity intolerance, altered nutrition, and altered growth and development.