NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of angina. Which medication should the nurse anticipate being prescribed for acute chest pain?
Correct Answer: A
Rationale: Nitroglycerin is used for acute angina relief by dilating coronary arteries. Metoprolol, amlodipine, and losartan are for long-term management, not acute pain.
Question 2 of 5
The nurse is collecting a nutritional history on a 28-year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:
Correct Answer: C
Rationale: Eating chalk is not related to calcium and its absorption. Poor nutritional habits may result in increased discomfort during premenstrual days, but this is not a primary reason for the client to stop eating chalk. Premenstrual discomfort has not been mentioned. Iron is rendered insoluble and is excreted through the gastrointestinal tract. There is no competition between the two nutrients.
Question 3 of 5
When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:
Correct Answer: D
Rationale: Tube feedings should be withheld and physician notified for residual volumes of 50-100 mL.
Question 4 of 5
The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?
Correct Answer: A
Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion prevents worsening overload. Stopping it (
C) is premature, documenting only (
B) delays intervention, and pupil assessment (
D) is irrelevant.
Question 5 of 5
Which tasks should not be delegated to the unlicensed assistive personnel?
Correct Answer: C
Rationale: Unlicensed assistive personnel (UAP) can perform basic care tasks like bathing (
A), perineal care (E), and assisting with feeding under supervision (
B). Basic life support (
D) may be within their scope if trained. However, administering parenteral medications (
C) requires assessment and judgment, which is beyond UAP scope and reserved for licensed nurses.