NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?
Correct Answer: C
Rationale: complete nursing history includes biopsychosocial data; client’s psychosocial and physical status are evaluated along with an assessment of the client’s family system and social support network; evaluation of the client’s cognitive ability is important during the physiological status assessment
Question 2 of 5
A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:
Correct Answer: D
Rationale: The mother's desire to breastfeed is the primary factor influencing breastfeeding success.
Question 3 of 5
A school nurse is suspicious that a child is being physically abused at home. The nurse's responsibility is to
Correct Answer: D
Rationale: Nurses are mandated reporters and must report suspected child abuse to local authorities for investigation, prioritizing child safety.
Question 4 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.
Question 5 of 5
A client arrives in the emergency room after a motor vehicle accident. Witnesses tell the nurse that they observed the client's head hit the side of the car door. Nursing assessment findings include BP 70/34, heart rate 130, and respirations 22. Which is the client's most appropriate priority nursing diagnosis?
Correct Answer: B
Rationale: Hypotension (BP 70/34) and tachycardia (HR 130) indicate hypovolemic shock, likely from blood loss. Fluid volume deficit is the priority diagnosis to address life-threatening hypovolemia.