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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Practice Questions Questions

Extract:


Question 1 of 5

A nurse is working in the cardiac unit when a Code Pink (infant abduction) is called. Which action by the nurse is the best response to the code?

Correct Answer: D

Rationale: Staying alert for a person of interest helps ensure hospital-wide vigilance during a Code Pink, regardless of the unit.

Question 2 of 5

The nurse is assessing an ECG strip of a 42-year-old client and finds a regular rate greater than 100, a normal QRS complex, a normal P wave in front of each QRS, a PR interval between 0.12 and 0.20 seconds, and a P: QRS ratio of 1:1. What is the nurse's interpretation of this rhythm?

Correct Answer: B

Rationale: A regular rate >100 with normal P waves, QRS complexes, and PR interval indicates sinus tachycardia, a common response to stress, fever, or hypoxia.

Question 3 of 5

A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:

Correct Answer: A

Rationale: Elevating the arm on pillows reduces edema and promotes lymphatic drainage post-mastectomy, aiding recovery.

Question 4 of 5

The client's intravenous (IV) line has a gauze pad wrapped around the IV catheter at the insertion site and a transparent dressing over the gauze dressing. How long after application should the nurse change the dressing?

Correct Answer: B

Rationale: Transparent dressings should be changed when they loosen (
B) or per facility policy (typically every 5-7 days unless soiled or loose). Fixed intervals (C,
D) or IV rotation (
A) do not apply directly.

Question 5 of 5

A student nurse overhears her instructor using the term pink puffer. The student knows this term refers to a client with which condition?

Correct Answer: C

Rationale: Pink puffer' describes emphysema patients, who maintain oxygenation (pink) but hyperventilate (puffer) due to alveolar destruction.

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