NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet
1. Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?
- A. "I should wear earplugs during the test."?
- B. "I should remove my metal jewelry before the test."?
- C. "I should inform the healthcare provider about my pacemaker."?
- D. "I should inform the healthcare provider about my artificial hip."?
Correct answer: A
Rationale: The correct statement is, '"I should wear earplugs during the test,"?' as MRI scanners produce loud noises requiring ear protection. Metal objects, including jewelry, are not allowed inside the MRI room due to safety concerns related to the magnetic field. Choices B, C, and D are incorrect. Choice B is wrong because metal objects, including jewelry, are not permitted in the MRI room. Choices C and D are incorrect as having a pacemaker or an artificial hip raises concerns due to the magnetic field in MRI, requiring special precautions or considerations. It is crucial for individuals with such implants to inform their healthcare provider to assess the risks and determine the appropriate course of action.
2. A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
- A. positive
- B. false positive
- C. negative
- D. false negative
Correct answer: B
Rationale: The correct answer is 'false positive.' A false-positive result occurs when a test result is labeled positive in error, when the actual result is negative. In this scenario, the client received a positive test result incorrectly, as he does not have the disease being tested for. Choice A ('positive') is too vague and does not specify that the result was incorrect. Choice C ('negative') is the opposite of what happened in the scenario. Choice D ('false negative') refers to a situation where a test result is labeled negative incorrectly, which is not the case in this scenario.
3. People living in poverty are most likely to obtain health care from:
- A. their primary care physician (family doctor)
- B. a neighborhood clinic
- C. specialists
- D. Emergency Departments or urgent care centers
Correct answer: D
Rationale: People living in poverty often face barriers to accessing regular healthcare services, leading them to seek care in Emergency Departments or urgent care centers. These facilities are more accessible and do not require appointments or insurance, making them a common choice for individuals with limited resources. Neighborhood clinics, while a good option, may not always be available or affordable for those in poverty. Specialists provide specialized care but usually require a referral from a primary care provider, which individuals in poverty may not have consistent access to. Therefore, Emergency Departments or urgent care centers are the most likely sources of healthcare for people living in poverty.
4. When a client is having a seizure and their blood oxygen saturation drops from 92% to 82%, what should the nurse do first?
- A. Open the airway.
- B. Administer oxygen.
- C. Suction the client.
- D. Check for breathing.
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.
5. The client is being taught about the use of Rifampin for prophylaxis following exposure to meningitis. What change in bodily functions should the client be informed about?
- A. The client's urine may turn blue.
- B. The client remains infectious to others for 48 hours.
- C. The client's contact lenses may be stained orange.
- D. The client's skin may take on a crimson glow.
Correct answer: C
Rationale: Rifampin has the unusual effect of turning body fluids an orange color. Soft contact lenses might become permanently stained. Clients should be taught about these side effects to avoid unnecessary concern. Option A is incorrect as Rifampin does not cause the urine to turn blue. Option B is incorrect as the client is not infectious to others due to taking Rifampin for prophylaxis. Option D is incorrect as Rifampin does not cause the skin to take on a crimson glow.
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