NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?
Correct Answer: D
Rationale: Pernicious anemia requires dietary B12 (found in eggs, meat, milk). Other options lack significant B12.
Question 2 of 5
The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
Correct Answer: C
Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.
Question 3 of 5
While interviewing a client who abuses alcohol, the nurse learns that the client has experienced 'blackouts.' The wife asks what this means. The best response at this time is:
Correct Answer: A
Rationale: Blackouts in alcohol abuse refer to short-term memory amnesia, where the client cannot recall events during intoxication despite appearing conscious.
Question 4 of 5
Which set of vital signs would best indicate an increase in intracranial pressure?
Correct Answer: A
Rationale: Increased intracranial pressure (ICP) is indicated by Cushing's triad: widened pulse pressure (e.g., BP 180/70), bradycardia (pulse 50), and irregular respirations. Temperature elevation may occur but is less specific.
Question 5 of 5
The nurse is caring for a client following a transphenoidal hypophysectomy. Post-operatively, the nurse should:
Correct Answer: B
Rationale: The halo sign on the nasal dressing indicates cerebrospinal fluid leakage, a critical post-operative complication.