NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of asthma. Which medication should the nurse anticipate being ordered for an acute asthma attack?
Correct Answer: A
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks, providing rapid bronchodilation. Prednisone is for long-term control, theophylline is less commonly used, and montelukast is for maintenance therapy.
Question 2 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 3 of 5
A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?
Correct Answer: A
Rationale: Whole blood is the transfusion component of choice when large volumes of blood need to be replaced. Whole blood contains all blood components that are lost during active bleeding.
Question 4 of 5
A client with a history of a burn injury is being discharged. The nurse should teach the client to:
Correct Answer: B
Rationale: Loose clothing prevents irritation and promotes healing in burn injuries. Petroleum lotions, harsh soaps, and air exposure can delay healing or cause infection.
Question 5 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.