NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
Correct Answer: A
Rationale: A supportive environment fosters trust and safety, critical for a client with PTSD to begin processing trauma.
Question 2 of 5
A client arrives in the emergency room after a motor vehicle accident. Witnesses tell the nurse that they observed the client's head hit the side of the car door. Nursing assessment findings include BP 70/34, heart rate 130, and respirations 22. Which is the client's most appropriate priority nursing diagnosis?
Correct Answer: B
Rationale: Hypotension (BP 70/34) and tachycardia (HR 130) indicate hypovolemic shock, likely from blood loss. Fluid volume deficit is the priority diagnosis to address life-threatening hypovolemia.
Question 3 of 5
A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?
Correct Answer: D
Rationale: MRSA requires skin-to-skin contact for transmission, prevented by hand washing, gloves, and gowns under contact precautions.
Question 4 of 5
After a traumatic accident, the client must have his left arm amputated in an emergency procedure. When the client wakes from anesthesia and sees his arm has been amputated, he becomes extremely distressed. He cries uncontrollably and yells about how angry he is at the doctor. The best therapeutic action from the nurse is
Correct Answer: B
Rationale: Sitting quietly with the client provides emotional support, allowing him to process grief and anger without judgment.
Question 5 of 5
The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste, smell, and hearing?
Correct Answer: C
Rationale: The temporal lobe processes taste, smell, and hearing, critical sensory functions.