NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of breast cancer who is receiving Tamoxifen (Nolvadex). The nurse should monitor the client for:
Correct Answer: A
Rationale: Tamoxifen, an anti-estrogen, commonly causes hot flashes due to hormonal changes. Blood pressure, appetite, and hair loss are not primary side effects.
Question 2 of 5
The client is diagnosed with a retinal detachment. Which symptom is most likely reported by the client?
Correct Answer: A
Rationale: Retinal detachment typically causes sudden vision loss, often described as a curtain over the visual field. Pain, redness, and double vision are less common.
Question 3 of 5
The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?
Correct Answer: D
Rationale: Sitting or high Fowler’s position maximizes lung expansion by reducing diaphragm pressure in myasthenia gravis. Supine (
A), side-lying (
B), and prone (
C) positions restrict breathing.
Question 4 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.
Question 5 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.