NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
Four days after delivery, a client develops complications of postpartal hemorrhage. The most common cause of late postpartal hemorrhage is:
Correct Answer: B
Rationale: Late postpartum hemorrhage (after 24 hours) is most commonly caused by retained placental fragments, which prevent uterine contraction and cause bleeding. Uterine atony is more common early postpartum.
Question 3 of 5
A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:
Correct Answer: C
Rationale: Regular insulin peaks 2-4 hours after administration, so 12 noon is the expected peak time for a 9:00 AM dose.
Question 4 of 5
The nurse is collecting a nutritional history on a 28-year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:
Correct Answer: C
Rationale: Eating chalk is not related to calcium and its absorption. Poor nutritional habits may result in increased discomfort during premenstrual days, but this is not a primary reason for the client to stop eating chalk. Premenstrual discomfort has not been mentioned. Iron is rendered insoluble and is excreted through the gastrointestinal tract. There is no competition between the two nutrients.
Question 5 of 5
A client with a history of rheumatoid arthritis is admitted with complaints of joint pain. The nurse should expect the client to have:
Correct Answer: A
Rationale: Rheumatoid arthritis causes symmetrical joint inflammation, leading to morning stiffness lasting over 30 minutes, a key clinical feature.