Next Generation Nclex Questions Overview 3.0 ATI Quizlet - Nurselytic

Correct Answer: D

Rationale: During active exercise, insulin sensitivity increases, leading to lower blood glucose levels.
To balance the effect of increased insulin sensitivity, additional carbohydrates might be needed. The other choices are incorrect because:
A) an infection typically raises blood glucose levels rather than increasing the need for carbohydrates;
B) emotional upset can impact blood glucose but does not directly affect carbohydrate needs;
C) while a large meal can raise blood glucose levels, it does not necessarily mean an increase in carbohydrate needs.

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.

Correct Answer: A

Rationale: Padding on a restraint helps distribute pressure to prevent bony prominences from bearing excessive pressure when a client pulls against the restraints. This is crucial to avoid tissue damage caused by ischemia. The correct answer focuses on the physiological benefit of padding in reducing pressure on vulnerable areas to prevent harm.
Choice B is incorrect as the primary purpose of padding is not emotional comfort but preventing physical harm.
Choice C is incorrect as while padding can indirectly help prevent infection and wounds by reducing pressure, its primary function is pressure distribution.
Choice D is incorrect as the main purpose of padding is not to keep the restraints in place but to protect the client's skin and tissues from pressure-related injuries.

Correct Answer: B

Rationale: In the scenario of a needle puncture requiring HIV prophylaxis, the CDC recommends initiating treatment with two non-nucleoside reverse transcriptase inhibitors, unless there is drug resistance. This regimen is preferred over other options such as a single protease inhibitor or two protease inhibitors due to its effectiveness and safety profile in this specific context. Non-nucleoside reverse transcriptase inhibitors are commonly used in post-exposure prophylaxis due to their activity against HIV and lower risk of resistance development compared to other antiretroviral drug classes.

Correct Answer: B

Rationale: The correct answer is B: Eclampsia. Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizures and/or coma but does not typically present with vaginal bleeding.

Choices A, C, and D are abnormal conditions that can cause bleeding, particularly in the third trimester. Placenta previa (choice
A) is a condition where the placenta partially or completely covers the cervix, leading to vaginal bleeding. Abruptio placentae (choice
C) is the premature separation of the placenta from the uterine wall, causing vaginal bleeding. Uterine rupture (choice
D) is a serious obstetrical emergency where the uterus tears during pregnancy or childbirth, resulting in severe bleeding.