NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A client who has had a laparoscopic cholecystectomy receives discharge instructions from the nurse. Which statement indicates that the client has understood the instructions?
Correct Answer: B
Rationale: Removing the dressing and showering the day after a laparoscopic cholecystectomy is standard, as incisions are small. A low-fat diet may be advised but not for a fixed 6 months, nausea is not expected, and return to work is typically sooner.
Question 2 of 5
Which of the following statements best explains why the nurse should evaluate gastric residual in administering the client's next enteral feeding?
Correct Answer: C
Rationale: Evaluating gastric residual prevents overdistention of the stomach, which can lead to aspiration or discomfort. It does not directly assess nutrient absorption or feeding adequacy.
Question 3 of 5
Which of the following is NOT an essential component of a restraint order?
Correct Answer: A
Rationale: A restraint order requires the reason , type , and client behaviors necessitating the restraint . Informed consent is not typically required for restraints, as they are used in emergencies or for safety.
Question 4 of 5
Which of the following data points about your client's hemodynamic values would you report to the doctor as abnormal?
Correct Answer: B
Rationale: Normal ranges are: PAS 15-30 mmHg, PAWP 4-12 mmHg, PAD 4-12 mmHg, CVP 2-6 mmHg. PAWP of 22 mmHg is elevated, indicating potential left ventricular dysfunction or fluid overload.
Question 5 of 5
The nurse is caring for a client with a burn injury covering 30% of the body. Which fluid should the nurse expect to administer?
Correct Answer: B
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation per the Parkland formula, restoring volume and electrolytes without causing hemolysis.