NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
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
The nurse is caring for a client with a history of stroke who has dysphagia. Which of the following interventions should the nurse implement to prevent aspiration?
Correct Answer: C
Rationale: thickening liquids to a nectar-like consistency reduces the risk of aspiration in clients with dysphagia
Question 3 of 5
The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:
Correct Answer: A
Rationale: Expressive aphasia, often associated with Broca's area damage, impairs the ability to produce speech and write, while comprehension remains relatively intact.
Question 4 of 5
A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: should be in remission for at least 5 months prior to conceiving
Question 5 of 5
The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:
Correct Answer: A
Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.