NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
A client with dumping syndrome should ___________ while a client with GERD should ___________.
Correct Answer: A
Rationale: Clients with dumping syndrome should lie down after eating to decrease the symptoms of dumping syndrome, which include rapid gastric emptying leading to various gastrointestinal symptoms. On the other hand, clients with GERD should sit up at least 30 minutes after meals to prevent the backflow of stomach acid into the esophagus. This position helps reduce symptoms by allowing gravity to keep the stomach contents in place, minimizing the chances of reflux.
Therefore, the correct answer is to lie down 1 hour after eating for dumping syndrome and to sit up at least 30 minutes after eating for GERD.
Choices B, C, and D are incorrect because they do not accurately reflect the appropriate positioning for each condition.
Question 2 of 5
What should be the primary action for a client who has just vomited 300 cc of bright red blood?
Correct Answer: D
Rationale: The correct first action for a client who has just vomited 300 cc of bright red blood is to check the blood pressure. This assessment is crucial to evaluate for hypotension, which could indicate significant blood loss and the need for immediate intervention. Documenting the vomiting is important for the client's medical record but not the initial priority. Increasing IV fluids and getting a complete blood count are necessary steps but should follow the assessment of the client's hemodynamic status.
Question 3 of 5
A client with which of the following conditions is at risk for developing a high ammonia level?
Correct Answer: D
Rationale: A client with cirrhosis is at risk for developing a high ammonia level due to impaired liver function. The liver normally converts ammonia into urea for excretion. In cirrhosis, this process is compromised, leading to elevated ammonia levels in the blood. Renal failure, psoriasis, and lupus do not typically cause high ammonia levels. Renal failure affects kidney function, while psoriasis and lupus are autoimmune conditions that do not directly impact ammonia metabolism.
Question 4 of 5
What sign might the nurse observe in a client with a high ammonia level?
Correct Answer: A
Rationale: Coma is a sign that a nurse might observe in a client with a high ammonia level. Elevated ammonia levels can lead to hepatic encephalopathy, a condition characterized by impaired brain function, which can progress to coma. Edema (choice
B) is swelling caused by excess fluid trapped in body tissues, not typically associated with high ammonia levels. Hypoxia (choice
C) is a condition of inadequate oxygen supply to tissues and is not directly related to high ammonia levels. Polyuria (choice
D) refers to excessive urination and is not a typical sign of high ammonia levels.
Question 5 of 5
A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
Correct Answer: B
Rationale: The correct answer is 'false positive.' A false-positive result occurs when a test result is labeled positive in error, when the actual result is negative. In this scenario, the client received a positive test result incorrectly, as he does not have the disease being tested for.
Choice A ('positive') is too vague and does not specify that the result was incorrect.
Choice C ('negative') is the opposite of what happened in the scenario.
Choice D ('false negative') refers to a situation where a test result is labeled negative incorrectly, which is not the case in this scenario.