NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?
Correct Answer: A
Rationale: In an emergency situation to assess for airway obstruction, the nurse should prioritize assessing the client's ability to speak. If a client can speak, it indicates that the airway is patent and not completely obstructed, allowing air to pass through the vocal cords for speech production.
Choices B, C, and D are not the primary assessments for determining airway obstruction. Assessing the ability to hear is not directly related to an airway obstruction. While oxygen saturation and adventitious breath sounds are important in respiratory assessments, they are not the initial indicators of an airway obstruction. Oxygen saturation reflects the amount of oxygen in the blood, and adventitious breath sounds refer to abnormal lung sounds that may indicate conditions like pneumonia or bronchitis, but they do not specifically confirm airway patency.
Question 2 of 5
Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
Correct Answer: D
Rationale: Huntington's chorea is a neurological disorder characterized by writhing, twisting movements of the face and limbs, known as chorea. Epilepsy is characterized by seizures, not writhing, twisting movements. Parkinson's disease presents with tremors, rigidity, and bradykinesia, not writhing, twisting movements. Multiple sclerosis affects the central nervous system but does not typically involve writhing, twisting movements.
Therefore, the correct answer is Huntington's chorea as it specifically manifests with these characteristic movements.
Question 3 of 5
A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boy's mother indicates a need for further teaching by the nurse?
Correct Answer: C
Rationale: The correct answer is "I should lay him on his back during a seizure."? This statement indicates a need for further teaching because a client having a seizure should be turned to the side to prevent aspiration of secretions.
Choices A, B, and D are correct. Getting plenty of rest helps in managing seizures, having a medical alert bracelet informs others about the condition in case of emergency, and loosening clothing during a seizure ensures better air circulation and prevents injury. These actions demonstrate adequate understanding of the teaching provided.
Question 4 of 5
Which of the following represents a normal serum potassium level?
Correct Answer: C
Rationale: The correct answer is 4.0 mEq/L. Normal serum potassium levels typically range from 3.5-5.5 mEq/L.
Choice A (1.5 mEq/L) is below the normal range,
Choice B (3.0 mEq/L) is also below the normal range, and
Choice D (6.0 mEq/L) is above the normal range.
Therefore, the only option within the normal range is
Choice C (4.0 mEq/L).
Question 5 of 5
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be
Correct Answer: B
Rationale: In the scenario described, where multiple passengers on an airliner experience sudden weakness and breathing difficulty simultaneously, the most likely cause is chemical exposure. This is because a sudden onset of similar symptoms in a group of individuals suggests a common environmental factor affecting them. Options A, C, and D are less likely as they do not explain a sudden onset of symptoms in multiple individuals simultaneously. Asian flu (Option
A) is a viral infection and would not typically result in sudden symptoms in multiple individuals at the same time. Bacterial pneumonia (Option
C) is a localized infection and not a probable cause for a sudden onset of symptoms in a group. An allergic reaction (Option
D) would usually occur in individuals with specific allergies rather than affecting a group of passengers at the same time.