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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:

Correct Answer: A

Rationale: A nosebleed may indicate worsening hypertension in preeclampsia, a critical symptom requiring immediate reporting.

Question 2 of 5

The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?

Correct Answer: E

Rationale: Eschar covering the wound bed makes it unstageable, as the depth cannot be assessed until debridement.

Question 3 of 5

The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?

Correct Answer: B

Rationale: Low urinary output (20 mL/hour) may indicate renal impairment or hypoperfusion, requiring further investigation.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about eye drop administration. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of the medication

Question 5 of 5

Which developmental milestone puts the 4-month-old infant at greatest risk for injury?

Correct Answer: D

Rationale: Rolling over at 4 months increases the risk of falling from elevated surfaces like changing tables, a common cause of injury.

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