NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
Following a recent tattoo, someone should be screened for:
Correct Answer: C
Rationale: Following a recent tattoo, someone should be screened for hepatitis. Tattooing puts a client at risk for blood-borne hepatitis B or C if strict sterile procedures are not followed. Tuberculosis is an airborne pathogen, while herpes and syphilis are spread through direct contact like sexual activity.
Therefore, hepatitis is the most relevant infection to screen for after getting a tattoo.
Question 2 of 5
After delivery, a newborn undergoes an Apgar assessment. What does this scoring system evaluate?
Correct Answer: B
Rationale: The Apgar scoring system, developed by Virginia Apgar, an anesthesiologist, evaluates newborns based on five criteria: heart rate, respiratory effort, color, muscle tone, and reflex irritability. These parameters provide a quick and simple assessment of a newborn's overall condition and the need for immediate medical attention.
Choices B, C, and D are incorrect as they do not encompass the essential elements evaluated by the Apgar scoring system.
Question 3 of 5
How often should physical restraints be released?
Correct Answer: A
Rationale: The correct answer is to release physical restraints every 2 hours. Releasing restraints every 2 hours helps prevent complications associated with prolonged immobilization. Releasing restraints every 30 minutes (choice
C) may be too frequent and disruptive to the client's care. Releasing restraints between 1 and 3 hours (choice
B) introduces variability that could lead to inconsistencies in care. Releasing restraints at least every 4 hours (choice
D) does not adhere to the recommended frequency of every 2 hours.
Question 4 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 5 of 5
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Correct Answer: B
Rationale: A sprain is the correct term for the excessive stretching of a ligament, which is what happens when a ligament is pulled. A strain involves muscle tissue. Subluxation refers to a partial dislocation, and dislocation is a complete displacement of bones in a joint. In this case, since it's a pulled ligament, the most appropriate term is a sprain.