NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
Correct Answer: D
Rationale: prevents respiratory complications due to immobility following surgery
Question 2 of 5
The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?
Correct Answer: C
Rationale: Inserting a Foley catheter allows monitoring of urinary output, which is critical to detect magnesium toxicity, as decreased output is a sign of toxicity.
Question 3 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 4 of 5
The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?
Correct Answer: D
Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.
Question 5 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration of reimplanted digits indicate compromised blood flow, requiring immediate reporting to prevent tissue loss.