NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of Parkinson’s disease. The nurse should give priority to:
Correct Answer: A
Rationale: Parkinson’s disease causes bradykinesia and rigidity, increasing fall risk, so monitoring for falls is the priority.
Question 2 of 5
The nurse is caring for a client with a suspected hip fracture. Which intervention should be implemented to prevent complications?
Correct Answer: C
Rationale: Immobilizing the hip with a splint prevents further injury and reduces pain in a suspected hip fracture. Heating pads, dependent positioning, and weight-bearing can worsen the injury.
Question 3 of 5
The nurse is caring for a client with a history of ankylosing spondylitis. The nurse should expect the client to have:
Correct Answer: A
Rationale: Ankylosing spondylitis causes chronic inflammation of the spine, leading to spinal stiffness, especially in the morning.
Question 4 of 5
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect. Based on his developmental stage, the nurse:
Correct Answer: B
Rationale: A toddler is not capable of conceptualizing about the inside of his body and is concerned about body intactness; therefore, diagrams would not be useful. Also, the previous evening is too far from the procedure for the toddler to remember the instructions. A simple explanation the morning of the procedure is the best developmental strategy to use, because it focuses on the toddler's need for parental support, body intactness, and short attention span. A relationship between the nurse and the child needs to develop. Also, misinformation may be given to the child if the parents explain the procedure to the child. The parents are the child's support system and need to be there to strengthen the child.
Question 5 of 5
The nurse is caring for an eight-year-old following a routine tonsillectomy. Which finding should be reported immediately?
Correct Answer: D
Rationale: Respiratory stridor post-tonsillectomy suggests airway obstruction, a life-threatening complication requiring immediate reporting. The other findings are normal or less urgent.