NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
The physician has prescribed Coumadin (sodium warfarin) for a client having transient ischemic attacks. Which laboratory test measures the therapeutic level of Coumadin?
Correct Answer: A
Rationale: Prothrombin time (PT/INR) measures Coumadin's anticoagulant effect by assessing clotting time. PTT monitors heparin, and clot retraction or bleeding time are unrelated.
Question 2 of 5
The nurse is caring for a client with a history of a diabetic foot ulcer. The nurse should:
Correct Answer: B
Rationale: Elevating the foot reduces swelling and promotes healing in a diabetic foot ulcer. Heating pads, soaking, and massage increase infection risk or impair circulation.
Question 3 of 5
Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?
Correct Answer: D
Rationale: 6-Mercaptopurine is used for Crohn's disease, not ulcerative colitis, so the nurse should question its order.
Question 4 of 5
Acticoat (silver nitrate) dressings are applied to the legs of a client with deep partial thickness burns. The nurse should:
Correct Answer: D
Rationale: Acticoat dressings require moistening with normal saline to activate the silver ions for antimicrobial action and to maintain a moist healing environment.
Question 5 of 5
The nurse is caring for a client with a diagnosis of incompetent cervix. Which intervention is most appropriate?
Correct Answer: B
Rationale: Incompetent cervix where the cervix dilates prematurely is treated with cerclage (a stitch to reinforce the cervix).
Tocolytics may be adjunctive fetal distress monitoring is secondary and antibiotics are not routinely indicated.