NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would include:
Correct Answer: D
Rationale: Metronidazole can cause a disulfiram-like reaction (nausea, vomiting) when combined with alcohol, so patients should avoid alcoholic beverages and products. It should be taken for the full course, can be taken with food to reduce GI upset, and does not cause photosensitivity.
Question 2 of 5
The nurse is caring for a client with scalding burns across the face, neck, upper half of the anterior chest, and entire right arm.
Correct Answer: 32
Rationale: Rule of nines: face (4.5%), neck (4.5%), upper half anterior chest (9%), right arm (9%) = 4.5 + 4.5 + 9 + 9 = 27%. The closest answer is 32% (
C), possibly due to rounding or partial overlap.
Question 3 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 4 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:
Correct Answer: A
Rationale: Succinylcholine chloride relaxes muscles and decreases the intensity of the seizure during electroconvulsive therapy.
Question 5 of 5
The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma. Neomycin decreases serum ammonia levels by:
Correct Answer: A
Rationale: Neomycin interferes with protein synthesis in the bacterial cell, causing bacterial death. Neomycin reduces the growth of the ammonia-producing bacteria in the intestines and is used for the treatment of hepatic coma.