NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client has suffered a severe traumatic brain injury and is being treated in the ICU. Which of the following interventions does the nurse anticipate to control intracranial pressure? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: ICP control includes elevating head (
A), oxygenating (
B), neutral alignment (
C), sedation (
D), and hypothermia (E) to reduce swelling and metabolic demand.

Question 2 of 5

A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs, the nurse should:

Correct Answer: C

Rationale: Turning the client hourly promotes ventilation and perfusion by mobilizing secretions and preventing atelectasis in ARDS.

Question 3 of 5

When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:

Correct Answer: D

Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers should detect active fetal movement as the fetus is well-developed and mobile.

Question 4 of 5

A woman with hypothyroidism has been taking levothyroxine (Synthroid) for 5 years. She has just been prescribed warfarin (Coumadin). The nurse immediately calls the health care provider to review these orders and anticipates the physician will

Correct Answer: A

Rationale: Levothyroxine increases warfarin’s anticoagulant effect, raising bleeding risk. The physician will likely order lab work (e.g., INR) to monitor and adjust warfarin dosing.

Question 5 of 5

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Correct Answer: C

Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.

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