ATI NCLEX-RN Practice Questions

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Question 1 of 5.

A client has returned to the unit from the recovery room after having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:

A. Respiratory obstruction

B. Hypercalcemia

C. Fistula formation

D. Myxedema

Explanation: Respiratory obstruction due to edema of the glottis, bilateral laryngeal nerve damage, or tracheal compression from hemorrhage is a major complication after a thyroidectomy.

Question 2 of 5.

Acticoat (silver nitrate) dressings are applied to the legs of a client with deep partial thickness burns. The nurse should:

A. Change the dressings once per shift.

B. Moisten the dressing with sterile water.

C. Change the dressings only when they become soiled.

D. Moisten the dressing with normal saline.

Explanation: Acticoat dressings require moistening with normal saline to activate the silver ions for antimicrobial action and to maintain a moist healing environment.

Question 3 of 5.

A client hospitalized for treatment of congestive heart failure is to be discharged with a prescription for Digitek (digoxin) 0.25 mg daily. Which of the following statements indicates that the client needs further teaching?

A. I will need to take the medication at the same time each day.

B. I can prevent stomach upset by taking the medication with an antacid.

C. I can help prevent drug toxicity by eating foods containing fiber.

D. I will need to report visual changes to my doctor.

Explanation: Taking digoxin with an antacid can decrease its absorption, reducing effectiveness, so this statement indicates a need for further teaching.

Question 4 of 5.

A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:

A. 20%

B. 35%

C. 45%

D. 60%

Explanation: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%. Partial- and full-thickness burns to the right arm and trunk approximate 35% TBSA.

Question 5 of 5.

A client with severe anemia is to receive a unit of packed red blood cells. In the event of a transfusion reaction, the first action by the nurse should be to:

A. Notify the physician and the nursing supervisor.

B. Stop the transfusion and maintain an IV of normal saline.

C. Call the lab for verification of type and cross match.

D. Prepare an injection of Benadryl (diphenhydramine).

Explanation: Stopping the transfusion and maintaining an IV of normal saline is the first action to prevent further reaction and stabilize the client.

Related Questions

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A male client has experienced low back pain for several years. He is the primary support of his wife and six children. Although he would qualify for disability, he plans to continue his employment as long as possible. His back pain has increased recently, and he is unable to control it with non-steroidal anti-inflammatory agents. He refuses surgery and cannot take narcotics and remain alert enough to concentrate at work. His physician has suggested application of a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following is an appropriate rationale for using a TENS unit for relief of pain?

A female client at 36 weeks' gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery suite. Her amniocentesis results reveal a lecithin/sphingomyelin (L/S) ratio of 2 and positive phosphatidylglycerol (PG). These lab values indicate:

At 12 hours postvaginal delivery, a female client is without complications. Which of the following assessment findings would warrant further nursing interventions?