ATI NCLEX PN Predictor Test

ATI NCLEX PN Predictor Test Related

Review ATI NCLEX PN Predictor Test related questions and content

How should a healthcare professional manage a patient with congestive heart failure?

  • A. Administer diuretics and monitor fluid balance
  • B. Provide a high-sodium diet and restrict fluids
  • C. Administer oxygen and provide pain relief
  • D. Provide bronchodilators and encourage mobility
Correct Answer: A

Rationale: Correct answer: The most appropriate management for a patient with congestive heart failure is to administer diuretics to help remove excess fluid and monitor fluid balance. Diuretics help reduce the workload on the heart and alleviate symptoms of fluid overload. Choice B is incorrect because patients with congestive heart failure are usually advised to limit sodium intake and carefully monitor fluid intake. Choice C is incorrect because although oxygen therapy may be necessary in certain cases, it is not the primary management for congestive heart failure. Pain relief is not a primary intervention for this condition. Choice D is incorrect because bronchodilators are not the first-line treatment for congestive heart failure. Encouraging mobility is important, but administering diuretics and monitoring fluid balance take precedence in managing this condition.

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What is the study of conduct and character?

  • A. Ethics
  • B. Justice
  • C. Morals
  • D. Non-maleficence
Correct Answer: A

Rationale: Ethics is the correct answer because it specifically deals with the study of conduct and character. Ethics is a branch of philosophy that involves systematizing, defending, and recommending concepts of right and wrong conduct. While justice and morals are related to ethical considerations, they do not directly represent the study of conduct and character. Non-maleficence is a principle in medical ethics related to avoiding harm.

What is an early sign that suctioning is needed for a client with a tracheostomy?

  • A. Bradycardia
  • B. Irritability
  • C. Hypotension
  • D. Decreased oxygen saturation
Correct Answer: B

Rationale: Irritability is an early sign that suctioning is needed for a client with a tracheostomy. When secretions accumulate in the airway, it can lead to discomfort and irritability in the client. Bradycardia, hypotension, and decreased oxygen saturation are usually later signs of inadequate airway clearance and oxygenation. Bradycardia may indicate severe hypoxia, while hypotension and decreased oxygen saturation are consequences of prolonged airway obstruction.

A nurse is caring for a client who is constipated. What intervention is most appropriate?

  • A. Administer a laxative to relieve discomfort
  • B. Encourage the client to increase dietary fiber intake
  • C. Encourage the client to rest until symptoms resolve
  • D. Administer a stool softener as prescribed
Correct Answer: B

Rationale: The most appropriate intervention for constipation is to encourage the client to increase dietary fiber intake. Fiber helps promote bowel movements and relieve constipation by adding bulk to the stool. Administering a laxative (Choice A) should not be the first-line intervention as it can lead to dependence. Encouraging rest (Choice C) is not directly helpful in relieving constipation. While administering a stool softener (Choice D) can be beneficial, increasing fiber intake is generally preferred as the initial intervention.

A client with a tracheostomy is exhibiting signs of respiratory distress. What is the nurse's immediate priority?

  • A. Increase the oxygen flow rate
  • B. Suction the tracheostomy
  • C. Notify the physician immediately
  • D. Administer a bronchodilator
Correct Answer: B

Rationale: When a client with a tracheostomy is experiencing respiratory distress, the immediate priority for the nurse is to suction the tracheostomy. This action helps clear the airway of secretions and ensures that the client can breathe effectively. Increasing the oxygen flow rate may be necessary but addressing the airway obstruction is more critical. Notifying the physician immediately is important but may cause a delay in addressing the immediate need for airway clearance. Administering a bronchodilator may help with bronchospasm but should not take precedence over ensuring a clear airway in a client with respiratory distress.

The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The client recently started on lorazepam (Ativan) due to increased anxiety. The nurse is cautioning the family about the use of lorazepam (Ativan). The nurse should instruct the family to report which of the following significant side effects to the healthcare provider?

  • A. Paradoxical excitement
  • B. Headache
  • C. Slowing of reflexes
  • D. Fatigue
Correct Answer: A

Rationale: The correct answer is A, paradoxical excitement. Lorazepam can cause an unexpected response of paradoxical excitement, which should be reported to the healthcare provider. This reaction is characterized by increased anxiety, restlessness, and agitation instead of the expected calming effect. Choices B, C, and D are incorrect because headache, slowing of reflexes, and fatigue are more common side effects of lorazepam and may not warrant immediate reporting unless severe or persistent.

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