NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
When a client is having a seizure and their blood oxygen saturation drops from 92% to 82%, what should the nurse do first?
Correct Answer: A
Rationale: When a client is experiencing a seizure and their blood oxygen saturation drops, the priority action for the nurse is to open the airway. Ensuring a clear airway is essential to maintain oxygenation during a seizure episode. Administering oxygen may be necessary but is secondary to ensuring a patent airway. Suctioning the client should only be done if there is an airway obstruction. Checking for breathing is important, but opening the airway takes precedence to support ventilation and oxygenation.
Question 2 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 3 of 5
In which of the following conditions might increased cortisol levels be found?
Correct Answer: A
Rationale: Cushing's syndrome is characterized by increased cortisol levels due to the overproduction of cortisol by the adrenal glands. This excess cortisol can lead to various symptoms and complications. Addison's disease is associated with decreased cortisol levels as it results from adrenal insufficiency, making it an incorrect choice in this context. Renal failure and congestive heart failure are not typically linked to abnormal cortisol levels, further indicating that they are not the conditions where increased cortisol levels are found.
Question 4 of 5
A 10-year-old boy has been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?
Correct Answer: D
Rationale: Compulsive behavior is not a clinical sign typically associated with congestive heart failure (CHF). CHF commonly presents with symptoms such as increased body weight due to fluid retention, elevated heart rate as the heart works harder to pump blood effectively, and lower extremity edema caused by fluid buildup. While behavioral changes can occur in response to illness, compulsive behavior is not a typical indicator of CHF.
Choices A, B, and C are more commonly linked to CHF and should be monitored in patients with this condition.
Question 5 of 5
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
Correct Answer: D
Rationale: The correct answer is Morton's neuroma. Morton's neuroma is a small mass or tumor in a digital nerve of the foot, causing symptoms such as pain and difficulty walking. Hallux valgus is commonly known as a bunion and involves the deviation of the big toe towards the other toes. Hammertoe is a condition where one or more toes are bent in a claw-like position. Plantar fasciitis is characterized by pain and inflammation in the arch of the foot, not typically associated with a mass causing difficulty walking.