NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?
Correct Answer: D
Rationale: Hematocrit is elevated due to hemoconcentration from hypovolemia. Sodium, calcium, and protein levels are typically decreased due to losses into edema fluid or increased capillary permeability.
Question 2 of 5
Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:
Correct Answer: B
Rationale: While the client is still restrained, but after violent behavior has subsided, a therapeutic bridge is built. This alliance encourages dialogue between nurse and client, allowing the client to determine causative factors, feelings prior to loss of control, and adaptive alternatives to violence.
Question 3 of 5
Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:
Correct Answer: D
Rationale: There is a rise in glomerular filtration rate in the kidneys in conjunction with decreased tubular glucose reabsorption, resulting in glycosuria. Insulin is inhibited by increased levels of estrogen. Insulin is inhibited by increased levels of progesterone. Human placental lactogen levels increase later in pregnancy. This hormonal antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the circulation of free fatty acids.
Question 4 of 5
When teaching a sex education class, the nurse identifies the most common STDs in the United States as:
Correct Answer: A
Rationale: Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. Herpes simplex genitalia is estimated to be found in 5-20 million people in the United States and is rising in occurrence yearly. Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.
Question 5 of 5
The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
Correct Answer: B
Rationale: Apraxia is the inability to perform purposeful movements or use objects correctly such as using a toothbrush to brush hair. Agnosia involves sensory misrecognition anomia is difficulty naming objects and aphasia affects language.