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
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 3 of 5
When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?
Correct Answer: D
Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.
Question 4 of 5
The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:
Correct Answer: A
Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.
Question 5 of 5
The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?
Correct Answer: B
Rationale: irreversible disease that leads to permanent physical limitations