NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs, the nurse should:
Correct Answer: C
Rationale: Turning the client hourly promotes ventilation and perfusion by mobilizing secretions and preventing atelectasis in ARDS.
Question 2 of 5
A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?
Correct Answer: D
Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.
Question 3 of 5
The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?
Correct Answer: D
Rationale: A grand mal seizure is the intended therapeutic effect of ECT, indicating effective treatment for severe depression.
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 a client with a history of stroke who has dysphagia. Which of the following interventions should the nurse implement to prevent aspiration?
Correct Answer: C
Rationale: thickening liquids to a nectar-like consistency reduces the risk of aspiration in clients with dysphagia