NCLEX Questions, ATI NCLEX-RN Practice Questions Questions,

Extract:

Question 1 of 5

The nurse working in a clinic is reviewing the chart of a client with a probable anemia. Which would most likely indicate a deficiency in Vitamin B12?

Correct Answer: B, C, F

Rationale: Vitamin B12 deficiency causes megaloblastic anemia with splenomegaly (
B), nausea (
C), and anorexia (F). Night cramps (
A), cheilosis (
D), and petechiae (E) are more associated with other deficiencies (e.g., iron, folate).

Question 2 of 5

Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

A. Relax muscles B. Relieve anxiety C. Reduce secretions D. Act as an anesthetic

Correct Answer: A

Rationale: Succinylcholine chloride relaxes muscles and decreases the intensity of the seizure during electroconvulsive therapy.

Question 3 of 5

Which tasks should not be delegated to the unlicensed assistive personnel?

A. Bathing a client with a closed head injury B. Performing a tube feeding on a client with an established line C. Administering parenteral medications D. Performing basic life support E. Providing perineal care to a client with an indwelling urinary catheter

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.

Question 4 of 5

A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:

A. Instruct the client to cough deeply to re-expand her lung B. Put on sterile gloves and replace the tube C. Apply a petrolatum dressing over the site D. Auscultate the lung to determine if she needs the tube replaced

Correct Answer: C

Rationale: This action is inappropriate. Coughing will not re-expand the lung and could result in further harm. This action is a medical procedure, not a nursing procedure. An occlusive dressing will prevent further air leak until the physician institutes further treatment. The decision to reinsert the tube is a medical decision, not a nursing one.