NCLEX RN· Full Length · ATI NCLEX-RN Practice Questions
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Showing all 10 practice questions with expert explanatory rationales.
The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma. Neomycin decreases serum ammonia levels by:
Expert Explanatory Rationale
Correct Answer: Decreasing nitrogen-forming bacteria in the intestines
A murmur has been discovered during the routine physical examination of a 1-year-old child. The parent is extremely concerned about this diagnosis. Which of the following explanations by the nurse indicates understanding of this dysfunction?
Expert Explanatory Rationale
Correct Answer: Surgical closure by suture or patch is recommended before school age.
The nurse is preparing to administer a dose of gentamicin (Garamycin) IV. Which laboratory value should the nurse check before administration?
Expert Explanatory Rationale
Correct Answer: Serum creatinine
A client with a history of a liver transplant is receiving Tacrolimus (Prograf). The nurse should monitor the client for:
Expert Explanatory Rationale
Correct Answer: Nephrotoxicity
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
Expert Explanatory Rationale
Correct Answer: Add baby oil to the client's bath water.
Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:
Expert Explanatory Rationale
Correct Answer: Increased human placental lactogen levels
A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:
Expert Explanatory Rationale
Correct Answer: Lung immaturity
The nurse working in a clinic is reviewing the chart of a client with a probable anemia. Which would most likely indicate a deficiency in Vitamin B12?
Expert Explanatory Rationale
Correct Answer:
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?
Expert Explanatory Rationale
Correct Answer: Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.
The nurse is caring for a client with a history of asthma. Which medication should the nurse anticipate being ordered for an acute asthma attack?
Expert Explanatory Rationale
Correct Answer: Albuterol (Proventil)