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 seizure disorder who is receiving Lamotrigine (Lamictal). The nurse should monitor the client for:
Correct Answer: A
Rationale: Lamotrigine can cause a serious rash, including Stevens-Johnson syndrome, requiring immediate monitoring and reporting. Hypotension, hyperglycemia, and weight gain are not primary concerns.
Question 2 of 5
During an intake assessment, the nurse asks the client if he has an advanced directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advanced directive clarifies a client’s wishes for medical care, reducing confusion and conflict among family or healthcare providers, especially in critical situations. It does not address funeral plans, allow staff to make decisions, or permit euthanasia.
Question 3 of 5
The nurse is preparing a teaching session for a client with hepatitis B who has been prescribed lamivudine (Epivir). Which does the nurse include as adverse effects of the drug?
Correct Answer: A, B, D
Rationale: Lamivudine side effects include nausea (
A), vomiting (
B), and neutropenia (
D). Steatorrhea (
C) and amnesia (E) are not common.
Question 4 of 5
The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which medication is most likely to be ordered?
Correct Answer: B
Rationale: Methylergonovine (Methergine) is an oxytocic used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Magnesium sulfate is for preeclampsia terbutaline is a tocolytic and betamethasone is for fetal lung maturity.
Question 5 of 5
A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:
Correct Answer: A
Rationale: The client with hypothyroidism is the most suitable roommate, as this condition is non-infectious and poses no risk to the immunocompromised vascular surgery client. Gastroenteritis and bacterial pneumonia are infectious, and diabetic ulcers may involve infection, increasing cross-contamination risk.