NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The home health nurse is visiting an elderly client following a hip replacement. Which finding requires further teaching?
Correct Answer: C
Rationale: A soft, low sofa can make it difficult for a client with a hip replacement to stand up safely, increasing the risk of falls or injury.
Question 2 of 5
A 4-year-old is admitted to the hospital for treatment of Kawasaki's disease. The medication commonly prescribed for the treatment of Kawasaki's disease is:
Correct Answer: A
Rationale: Aspirin is used in Kawasaki's disease to reduce inflammation and prevent coronary artery complications, often with intravenous immunoglobulin.
Question 3 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 4 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.
Question 5 of 5
The nurse is caring for a client following a transphenoidal hypophysectomy. Post-operatively, the nurse should:
Correct Answer: B
Rationale: The halo sign on the nasal dressing indicates cerebrospinal fluid leakage, a critical post-operative complication.