NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client with a mastectomy. Which action would be contraindicated?
Correct Answer: A
Rationale: Taking blood pressure on the mastectomy side is contraindicated due to the risk of lymphedema from compromised lymphatic drainage post-surgery. Elevating the arm, positioning on the unaffected side, and fingersticks on the unaffected side are safe.
Question 2 of 5
A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:
Correct Answer: B
Rationale: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%. Partial- and full-thickness burns to the right arm and trunk approximate 35% TBSA.
Question 3 of 5
The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory test is most likely to be ordered?
Correct Answer: D
Rationale: Preeclampsia requires monitoring platelet count (for thrombocytopenia) liver enzymes (for HELLP syndrome) and urinalysis (for proteinuria). All tests are essential to assess disease severity and complications.
Question 4 of 5
A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:
Correct Answer: A
Rationale: Providing a more structured, supportive environment addresses safety and comfort needs, thereby helping the anorexic client develop more internal control. Medications (commonly antidepressants) are frequently ordered for the体系, but lithium (used primarily with bipolar disorder) is not commonly used to treat the anorexic client. Requiring and/or demanding that the anorexic client 'eat more' at mealtimes increases the client's feelings of powerlessness.
Question 5 of 5
The nurse is teaching a client with a history of hypertension about lifestyle modifications. The nurse should tell the client to:
Correct Answer: A
Rationale: Reducing stress lowers blood pressure in hypertension, improving cardiovascular health.