NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client is scheduled for hemodialysis twice weekly through an arteriovenous fistula in the left arm. Following each hemodialysis treatment, the nurse should evaluate the client for which of the following because of risks associated with hemodialysis? Select all that apply.
Correct Answer: A,C
Rationale: Hemodialysis risks include fluid volume deficit (
A) from rapid fluid removal and bleeding (
C) from the fistula site. Fluid excess (
B) and pulmonary edema (E) are pre-dialysis risks, and acidosis (
D) is corrected by dialysis.
Question 2 of 5
When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:
Correct Answer: B
Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.
Question 3 of 5
A 62-year-old female with osteoarthritis asks the nurse how she can ease her pain and discomfort. The nurse should include which of the following in the discharge plan for the client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Healthy weight, aspirin, warm compresses, and moderate exercise (e.g., walking) reduce osteoarthritis pain and stiffness. High-impact exercise (
C) can worsen joint damage.
Question 4 of 5
The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn't show up in the nursery. The nurse's response is based on the knowledge that:
Correct Answer: D
Rationale: Fetal hemoglobin, present in newborns, inhibits sickling, masking sickle cell anemia symptoms until fetal hemoglobin decreases after several months.
Question 5 of 5
The nurse’s INITIAL priority when managing a physically assaultive client is to
Correct Answer: C
Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client