NCLEX-RN
ATI NCLEX-RN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following nursing orders has the highest priority for a child with epiglottitis?
Correct Answer: B
Rationale: Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside.
Question 2 of 5
A client with a history of rheumatoid arthritis is admitted with complaints of joint swelling. The nurse should give priority to:
Correct Answer: A
Rationale: Anti-inflammatories reduce joint swelling and pain in rheumatoid arthritis, improving function.
Question 3 of 5
A client with ovarian cancer is receiving fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?
Correct Answer: A
Rationale: Crystals in IV fluorouracil indicate precipitation, which can cause embolism or infusion issues. The nurse should discard the solution and obtain a new bag. Warming may not dissolve crystals safely, and continuing or discontinuing without replacement is incorrect.
Question 4 of 5
The nurse is caring for a client with pancreatitis. Which of the following IV medications would the nurse expect the physician to prescribe for control of pain in this client?
Correct Answer: D
Rationale: Meperidine is the drug of choice for clients with pancreatitis. It will not cause spasms at the sphincter of Oddi, which can lead to increased pancreatic pain.
Question 5 of 5
A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?
Correct Answer: D
Rationale: The nurse should discourage the child from coughing, clearing the throat, or putting objects in his mouth. These may induce bleeding. Cool, clear liquids may be given when child is fully alert. Warm liquids may dislodge a blood clot. The nurse should avoid red- or brown-colored liquids to distinguish fresh or old blood from ingested liquid should the child vomit. Gargles and vigorous toothbrushing could initiate bleeding. Postoperative hemorrhage, though unusual, may occur. The nurse should observe for bleeding by looking directly into the throat and for vomiting of bright red blood, continuous swallowing, and changes in vital signs.