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Questions 149

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NCLEX RN Practice Test Free Questions

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Question 1 of 5

A client with terminal lung cancer is admitted to the unit. A family member asks the nurse, 'How much longer will it be?' Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response acknowledges the family's concern, provides an honest answer, and opens the conversation to address their specific worries, promoting therapeutic communication.

Question 2 of 5

The nurse is part of an interdisciplinary team in a rehabilitation unit. Which of the following statements by a client is most important to be communicated to the social worker on the team?

Correct Answer: A

Rationale: Inability to afford help (
A) is a social issue requiring the social worker's intervention for resources. Other concerns (B, C,
D) are addressed by therapy or nursing.

Question 3 of 5

The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse's best action?

Correct Answer: A

Rationale: An ICP of 66 mmHg is critically high (normal <20 mmHg), indicating severe brain swelling. Notifying the physician is urgent for immediate intervention.

Question 4 of 5

A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?

Correct Answer: C

Rationale: Newborns have a respiratory rate of 30-60 breaths/min and heart rate of 120-160 beats/min. Option C (RR 46, HR 153) is within normal ranges.

Question 5 of 5

The nurse is caring for an infant receiving intravenous fluid. Signs of fluid overload in an infant include:

Correct Answer: B

Rationale: Fluid overload in infants can cause increased heart rate and blood pressure due to increased intravascular volume.

Similar Questions

The nurse is caring for a client 7 days post-burn injury with 60% body surface area involved. The nursing care of this client would primarily focus on:
When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:
The client with a pacemaker should be taught to:
A client with severe anemia is to receive a unit of whole blood. In the event of a transfusion reaction, the first action by the nurse should be to:
A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose of this medication and notify the physician if which of the following is observed on the cardiac monitor?

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