NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet
1. What should be the primary action for a client who has just vomited 300 cc of bright red blood?
- A. Document the vomiting.
- B. Increase IV fluids.
- C. Get a complete blood count.
- D. Check the blood pressure.
Correct answer: D
Rationale: The correct first action for a client who has just vomited 300 cc of bright red blood is to check the blood pressure. This assessment is crucial to evaluate for hypotension, which could indicate significant blood loss and the need for immediate intervention. Documenting the vomiting is important for the client's medical record but not the initial priority. Increasing IV fluids and getting a complete blood count are necessary steps but should follow the assessment of the client's hemodynamic status.
2. Where do the vast majority of deaths resulting from unintentional poisoning occur?
- A. Infants
- B. Toddlers
- C. Teens
- D. Adults
Correct answer: B
Rationale: The correct answer is 'Toddlers.' Toddlers are at the highest risk of unintentional poisoning due to their natural curiosity, explorative behavior, and lack of awareness of potential dangers. Infants are typically closely monitored, teens are more aware of risks, and adults generally have better judgment and understanding of hazardous substances, making them less susceptible to unintentional poisoning. Therefore, toddlers, being inquisitive and unaware of risks, are the most vulnerable group in terms of unintentional poisoning incidents.
3. Which of the following is an indication for electroencephalography?
- A. paralysis
- B. neuropathy
- C. seizure disorder
- D. myocardial infarction
Correct answer: C
Rationale: The correct answer is C: 'seizure disorder.' Electroencephalography is used to assess clients with seizure disorders by recording the brain's electrical activity. Seizure disorder is a primary indication for an EEG as it helps in diagnosing and managing seizure activity. Paralysis (choice A) is not typically an indication for an EEG as it relates to loss of muscle function rather than brain activity. Neuropathy (choice B) involves nerve damage and is not directly assessed by an EEG. Myocardial infarction (choice D) is related to heart issues and is not a condition that an EEG is used to diagnose.
4. While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
- A. "I will assist you in arranging to have a medicine woman present."?
- B. "We do not allow medicine women in exam rooms."?
- C. "That does not make any difference in the outcome."?
- D. "It is old-fashioned to believe in that."?
Correct answer: A
Rationale: The correct response is to show cultural awareness and respect the client's request by offering assistance in arranging for the medicine woman to be present. This approach acknowledges the importance of cultural beliefs and practices in the client's care, fostering trust and cooperation. Choices B, C, and D are inappropriate as they dismiss or belittle the client's cultural beliefs, showing insensitivity and lack of respect, which can negatively impact the nurse-client relationship.
5. All of the following are causes of vaginal bleeding in late pregnancy except:
- A. Placenta previa.
- B. Eclampsia.
- C. Abruptio placentae.
- D. Uterine rupture.
Correct answer: B
Rationale: The correct answer is B: Eclampsia. Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizures and/or coma but does not typically present with vaginal bleeding. Choices A, C, and D are abnormal conditions that can cause bleeding, particularly in the third trimester. Placenta previa (choice A) is a condition where the placenta partially or completely covers the cervix, leading to vaginal bleeding. Abruptio placentae (choice C) is the premature separation of the placenta from the uterine wall, causing vaginal bleeding. Uterine rupture (choice D) is a serious obstetrical emergency where the uterus tears during pregnancy or childbirth, resulting in severe bleeding.
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