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
The nurse is caring for a client following a right nephrolithotomy. Postoperatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side reduces pressure on the surgical site (right kidney), promoting comfort and minimizing complications.
Question 3 of 5
The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?
Correct Answer: D
Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.
Question 4 of 5
The nurse is in the medication room drawing up insulin for a client when a code blue is called. In his haste to respond to the call, the nurse places the syringe of insulin on the counter and responds to the code. Afterward, the nurse returns to the medication room and retrieves the syringe of insulin. Which action by the nurse is correct?
Correct Answer: C
Rationale: The syringe was left unattended, risking contamination or mix-up, so it should be disposed of in the sharps container, and a new dose drawn up to ensure safety.
Question 5 of 5
The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:
Correct Answer: D
Rationale: Checking the site for bleeding ensures early detection of hematoma or excessive bleeding post-heparin injection.