NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:
Correct Answer: C
Rationale: Assuming a wide, regular, rapid rhythm (common in critical scenarios), ventricular tachycardia is the most likely arrhythmia, requiring immediate intervention.
Question 3 of 5
The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:
Correct Answer: A
Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.
Question 4 of 5
A client scheduled for disc surgery tells the nurse that she frequently uses the herbal supplement kava-kava (piper methysticum). The nurse should notify the doctor because kava-kava:
Correct Answer: A
Rationale: Kava-kava can potentiate the effects of anesthetics and analgesics, increasing the risk of oversedation or prolonged recovery, necessitating physician notification.
Question 5 of 5
A 28-year-old woman with Guillain-Barre syndrome has been intubated and is on mechanical ventilation due to ascending paralysis. She has become increasingly worried and upset as the day has gone on. What would be the best response by the nurse to help the woman cope?
Correct Answer: D
Rationale: Acknowledging the client’s worry, offering support, and encouraging family presence promote emotional coping and reduce isolation. Other responses dismiss the client’s feelings or limit support.