NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?
Correct Answer: B
Rationale: Hydration is the highest priority in sickle cell crisis to prevent further sickling of red blood cells and to promote blood flow, reducing the risk of complications.
Question 2 of 5
The physician has ordered a paracentesis for a client with severe abdominal ascites. Before the procedure, the nurse should:
Correct Answer: A
Rationale: Providing a urinal allows the client to empty their bladder, reducing the risk of bladder puncture during paracentesis.
Question 3 of 5
A client with osteomylitis has an order for a trough level to be done because he is taking Gentamycin. When should the nurse call the lab to obtain the trough level?
Correct Answer: B
Rationale: Trough levels measure the lowest drug concentration and are drawn just before a dose after steady-state, typically around the fourth dose for Gentamicin.
Question 4 of 5
The nurse is caring for a client with full thickness burns to the lower half of the torso and lower extremities. During the emergent phase of injury, the primary nursing diagnosis would focus on:
Correct Answer: C
Rationale: In the emergent phase of burns, fluid volume deficit is the priority due to massive fluid loss from damaged skin, risking hypovolemic shock.
Question 5 of 5
The newly licensed nurse has been asked to perform a procedure that he feels unqualified to perform. The nurse's best response at this time is to:
Correct Answer: B
Rationale: Refusing and explaining the lack of qualification ensures patient safety and adheres to ethical standards.