NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
To prevent deformities of the knee joints in a client with an exacerbation of rheumatoid arthritis, the nurse should:
Correct Answer: C
Rationale: Encouraging joint motion within pain limits prevents stiffness and deformities in rheumatoid arthritis. Bed rest, discouraging motion, or prolonged immobilization can worsen contractures.
Question 2 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Naloxone is an opioid antagonist used to reverse respiratory depression, a potential complication of epidural opioid administration. Ketorolac (
A) is an NSAID, Diphenhydramine (
C) is an antihistamine, and Promethazine (
D) is an antiemetic, none of which address opioid overdose.
Question 3 of 5
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:
Correct Answer: B
Rationale: Calf pain with dorsiflexion of the foot (Homans' sign) can be a sign of a deep venous thrombosis; however, it is not diagnostic of the condition. Swelling and warmth along the affected vein are commonly observed clinical manifestations of a deep venous thrombosis as a result of inflammation of the vessel wall. Rubbing or massaging of the affected leg is contraindicated because of the risk of the clot breaking loose and becoming an embolus. A pillow behind the knee can be constricting and further impair blood flow.
Question 4 of 5
The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:
Correct Answer: B
Rationale: This goal is helpful, but rest is essential during the acute phase. Rest is essential for healing to occur and for pain to be relieved. This goal is important, but rest is essential. This goal should be part of the plan of care, but it is not the priority during the acute phase.
Question 5 of 5
The nurse is caring for a client with a history of a stroke who has hemiplegia. The nurse should:
Correct Answer: D
Rationale: Using a draw sheet for repositioning prevents skin shear and injury in a hemiplegic client. Positioning varies, active motion is limited, and diet depends on needs.