NCLEX-RN
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
When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:
Correct Answer: D
Rationale: Tube feedings should be withheld and physician notified for residual volumes of 50-100 mL.
Question 3 of 5
The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as a result of falling out of bed and notices that she has a runny nose. The nurse should:
Correct Answer: C
Rationale: The nasal discharge could be due to a cold. It is necessary to gather additional assessment data to identify a possible cerebrospinal fluid leak. If the discharge is cerebrospinal fluid, it would not be safe to encourage the girl to blow her nose. Cerebrospinal fluid is positive for sugar; mucus is not. Turning her to her side will have no effect on her 'runny nose.' It is necessary to gather further assessment data.
Question 4 of 5
A client with cancer received platelet infusions 24 hours ago.
Correct Answer: D
Rationale: Platelet infusions aim to improve clotting. Decreased oozing from an IV site (
D) indicates effective platelet function. Hemoglobin (
A), temperature (
B), and WBC (
C) are not directly affected.
Question 5 of 5
When teaching a sex education class, the nurse identifies the most common STDs in the United States as:
Correct Answer: A
Rationale: Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. Herpes simplex genitalia is estimated to be found in 5-20 million people in the United States and is rising in occurrence yearly. Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.