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NCLEX-RN Exam Practice Questions

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Question 1 of 5

The initial treatment for a client with a liquid chemical burn injury is to:

Correct Answer: B

Rationale: The use of large amounts of water to flush the area is recommended for chemical burns to dilute and remove the chemical. Neutralizing solutions may extend the burn, calcium chloride is not indicated, and lanolin is not beneficial initially.

Question 2 of 5

A two-month-old infant has just received her first Tetramune injection. The nurse should tell the mother that the immunization:

Correct Answer: C

Rationale: Tetramune protects against diphtheria, pertussis, tetanus, and H. influenzae b and is part of a series given at 2, 4, 6, and 15-18 months. It does not test susceptibility or cover MMRV.

Question 3 of 5

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

Correct Answer: C

Rationale: Blood pressure can remain normotensive even in a state of hypovolemia. Serum potassium is not reliable for determining adequacy of fluid resuscitation. Urine output, alteration in sensorium, and capillary refill are the most reliable indicators for assessing adequacy of fluid resuscitation. Pulse rate may vary for many reasons and is not a reliable indicator for assessing adequacy of fluid resuscitation.

Question 4 of 5

A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse's best response is:

Correct Answer: D

Rationale: A family member is encouraged to stay with the client after return to the unit. The nurse has used an opportunity to do family teaching and allay fears by explaining temporary side effects of the treatment.

Question 5 of 5

A client with a history of gout is admitted with complaints of joint pain. The nurse should give priority to:

Correct Answer: A

Rationale: Anti-inflammatories (e.g., NSAIDs) relieve joint pain and inflammation in gout flares.

Similar Questions

A client calls the prenatal clinic to schedule an appointment. She states she has missed three menstrual periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. The registered nurse (RN) learns that her last menstrual period began on June 10. According to Nägele's rule, the estimated date of confinement is:
After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:
A client being treated with sodium warfarin (Coumadin) has a prothrombin time of 120 seconds. The nurse recognizes that:
In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?
The client is admitted with a diagnosis of gestational trophoblastic disease. Which vital sign change is most likely to be observed?

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