NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of burns is admitted with a 40% total body surface area injury. The nurse should prioritize which of the following interventions?
Correct Answer: A
Rationale: Fluid resuscitation is the priority to prevent hypovolemic shock in extensive burns.
Question 2 of 5
When creating a program to decrease the primary cause of disability and death in children, which of the following is most effective for the community health nurse to do?
Correct Answer: B
Rationale: Free immunizations address the leading cause of preventable childhood disability and death by ensuring widespread protection against infectious diseases.
Question 3 of 5
The nurse is obtaining a health history from a Mexican American adult. The nurse should interpret the findings by understanding that Mexican American culture most highly values:
Correct Answer: A
Rationale: Mexican American culture often places high value on children, emphasizing family and intergenerational bonds. Materialism, firstborn sons, and the elderly are valued but not as universally central.
Question 4 of 5
Which of the following demonstrates that the client needs further instruction after being taught about ciprofloxacin (Cipro)?
Correct Answer: A
Rationale: Adequate hydration is important with ciprofloxacin, but 1,000–1,500 mL may be insufficient for adults, who typically need 2,000–3,000 mL daily to prevent crystalluria. Other statements are correct.
Question 5 of 5
The nurse is planning care for a client with a chest tube attached to a chest drainage system. Which actions should the nurse include as part of routine chest tube care? Select all that apply.
Correct Answer: A,B,C,E
Rationale: The client is encouraged to cough and deep breathe to assist in lung expansion. Water is added to the suction control chamber as needed to maintain the full suction level prescribed. The nurse keeps the drainage collection system below the level of the client's waist to prevent fluid or air from reentering the pleural space. Connections between the chest tube and system are taped to prevent accidental disconnection.
To avoid causing tension pneumothorax, the nurse avoids clamping the chest tube for any reason unless specifically prescribed. In most instances, clamping of the chest tube is contraindicated by agency policy.