ATI RN
Fundamental Of Nursing Nclex Practice Questions Questions
Question 1 of 9
A nurse obtained a client's pulse and found the rate to be above normal. The nurse documents this finding as:
Correct Answer: D
Rationale: When a nurse finds a client's pulse rate to be above normal, it is documented as tachycardia. Tachycardia specifically refers to an elevated heart rate, while tachypnea is rapid breathing, hyperpyrexia is high fever, and arrhythmia is an irregular heartbeat. Therefore, the correct term to describe an above-normal pulse rate is tachycardia.
Question 2 of 9
A client who is unconscious needs frequent mouth care. When performing mouth care, what is the best position for the client?
Correct Answer: B
Rationale: When providing mouth care to an unconscious client, the side-lying position is the best choice. This position helps prevent aspiration by allowing any fluids to drain out of the mouth easily, reducing the risk of choking or aspiration pneumonia. Placing the client in a side-lying position also promotes comfort and safety during the procedure.
Question 3 of 9
The client was asked to read the Snellen chart. Which of the following is being tested?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 9
What term is used to describe the preparation of the bed with a new set of linens?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
What is the best description of resonance?
Correct Answer: A
Rationale: Resonance refers to the quality of sound produced by vibrations that are reinforced by other vibrations of the same frequency. In the context of the human body, resonance is often associated with sounds produced by air-filled structures like the lungs, vocal cords, and resonating cavities. Therefore, the best description of resonance from the given options is 'Sounds created by air-filled lungs.' This choice aligns with the concept of resonance as it relates to sound production in the human body.
Question 6 of 9
Which of the following clusters of data belong to Maslow's hierarchy of needs?
Correct Answer: D
Rationale: Maslow's hierarchy of needs is a theory in psychology that categorizes human needs into five levels. These levels, from the most fundamental to the highest, are physiological needs, safety needs, love and belongingness, esteem needs, and self-actualization. Therefore, all the clusters listed in the choices - love and belonging, physiological needs, and self-actualization - correspond to different levels within Maslow's hierarchy of needs. Choosing 'All of the above' (option D) is the correct answer as it includes all the clusters associated with Maslow's theory.
Question 7 of 9
Which of the following actions should be taken to use a wide base support when assisting a client to get up in a chair?
Correct Answer: C
Rationale: When assisting a client to get up in a chair, it is essential to use a wide base of support to maintain stability and prevent injuries. Spreading the feet apart provides a broader base, increasing balance and support for both the client and the caregiver. This position helps distribute the weight evenly and allows for better control when assisting the client in moving.
Question 8 of 9
What is the primary purpose of handwashing?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
During a seizure, what is the primary intervention?
Correct Answer: A
Rationale: The primary intervention during a seizure is to protect the patient from injury. This includes moving nearby objects that may harm the patient, cushioning the head, and ensuring a safe environment until the seizure subsides. Inserting an airway is not typically done during a seizure unless the patient's airway is compromised, while elevating the head of the bed is not the priority during an active seizure. Withdrawing all pain medications is not necessary unless there are specific contraindications related to the seizure event.