NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 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.

Question 2 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 3 of 5

A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:

Correct Answer: B

Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.

Question 4 of 5

A client has suffered a severe traumatic brain injury and is being treated in the ICU. Which of the following interventions does the nurse anticipate to control intracranial pressure? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: ICP control includes elevating head (
A), oxygenating (
B), neutral alignment (
C), sedation (
D), and hypothermia (E) to reduce swelling and metabolic demand.

Question 5 of 5

The nurse is to administer a cleansing enema to a client scheduled for colon surgery. Which client position would be appropriate?

Correct Answer: C

Rationale: The left Sim's position allows the enema solution to flow into the sigmoid colon by gravity, facilitating effective cleansing.

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