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
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 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
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:
Correct Answer: C
Rationale: The temperature elevation related to febrile seizures generally exceeds 101°F, and seizures occur during the temperature rise rather than after a prolonged elevation. Febrile seizures may recur and are more likely to do so when the first seizure occurs in the 1st year of life. There is little risk of neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. Febrile seizures are associated with disease of the central nervous system.
Question 5 of 5
A two-year-old is being evaluated for hearing loss. Which finding in the child's history is likely to be a significant factor?
Correct Answer: D
Rationale: Meningitis treated with garamycin (gentamicin) is a significant risk factor for hearing loss as gentamicin is ototoxic and meningitis can damage auditory nerves. The other factors are less directly associated with hearing impairment.