NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

Home > NCLEX-RN > ATI NCLEX-RN Practice Questions
NCLEX-RN Test Bank

ATI NCLEX-RN Practice Questions Questions

Extract:


Question 1 of 5

The physician has ordered an injection of RhoGAM (Rho[D] immune globulin) for the postpartum client whose blood type is A negative and whose baby is O positive. To provide postpartum prophylaxis,RhoGAM should be administered:

Correct Answer: A

Rationale: RhoGAM prevents Rh sensitization in Rh-negative mothers by neutralizing fetal Rh-positive blood cells. It must be administered within 72 hours of delivery for effective prophylaxis.

Question 2 of 5

A female client at 36 weeks' gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery suite. Her amniocentesis results reveal a lecithin/sphingomyelin (L/S) ratio of 2 and positive phosphatidylglycerol (PG). These lab values indicate:

Correct Answer: D

Rationale: Placental maturity is assessed by a biophysical profile. L/S ratio and presence of phosphatidylglycerol are not used to determine fetal asphyxia. A biophysical profile score of 6 may indicate this condition. Cord compression is not reflected by the L/S ratio or presence of phosphatidylglycerol. Variable decelerations observed through electronic fetal monitoring could reflect umbilical cord compression. An L/S ratio >2 and the presence of phosphatidylglycerol in amniotic fluid indicate fetal lung maturity.

Question 3 of 5

The client at 38 weeks gestation is admitted with a blood pressure of 150/100,proteinuria and edema. The nurse should prepare to administer which of the following medications?

Correct Answer: A

Rationale: The client’s symptoms (hypertension proteinuria edema) indicate preeclampsia. Magnesium sulfate is administered to prevent seizures (eclampsia). Terbutaline is a tocolytic hydralazine treats hypertension and betamethasone is for fetal lung maturity in preterm labor.

Question 4 of 5

A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?

Correct Answer: A

Rationale: Taking a deep breath or humming (Valsalva maneuver) during chest tube removal increases intrathoracic pressure, preventing air entry. Holding breath for two minutes (
B) is excessive, exhaling (
C) risks pneumothorax, and deep breathing (
D) is unsafe.

Question 5 of 5

The nurse is caring for a client with a history of Parkinson’s disease. The nurse should give priority to:

Correct Answer: A

Rationale: Parkinson’s disease causes bradykinesia and rigidity, increasing fall risk, so monitoring for falls is the priority.

Similar Questions

A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as 'a cramp in my leg.' An appropriate nursing action is to:
A client with a history of endometriosis is admitted with complaints of pelvic pain. The nurse should expect the client to have:
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:
Which of the following foods,if selected by the mother of a child with celiac disease would indicate her understanding of the dietary instructions?
The nurse is caring for a client with a history of breast cancer who is receiving Tamoxifen (Nolvadex). The nurse should monitor the client for:

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days