NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. The nurse would determine that these clinical manifestations are indicative of:
Correct Answer: B
Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, a complication of immobility from a fracture. The other conditions have different presentations.
Question 2 of 5
The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:
Correct Answer: C
Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.
Question 3 of 5
The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?
Correct Answer: A
Rationale: Otic medication requires a side-lying or sitting position, not prone, to ensure proper ear canal access and medication delivery.
Question 4 of 5
The nurse in a long-term care setting wants to delegate the task of ambulating an elderly client with a walker to an unlicensed assistive personnel (UAP). Before delegating a task to the UAP, the nurse should first ensure which of the following is accomplished?
Correct Answer: D
Rationale: The nurse must ensure the UAP is credentialed and trained per facility policy to perform the task safely, as this ensures competence and compliance with regulations.
Question 5 of 5
A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:
Correct Answer: B
Rationale: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, indicating liver dysfunction, along with hemolysis and low platelet counts.