Questions 150

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Next Gen Questions Questions

Extract:


Question 1 of 5

The nurse is assessing a client with suspected appendicitis. Which test should the nurse perform to confirm the diagnosis?

Correct Answer: D

Rationale: Rovsing's sign (pain in the right lower quadrant with left-sided pressure) and psoas sign (pain with leg extension) support an appendicitis diagnosis.

Question 2 of 5

A client is experiencing symptoms of early alcohol withdrawal. The client's blood pressure is 150/85 mm Hg and the pulse is 98 bpm. The nurse should:

Correct Answer: D

Rationale: Notifying the physician is the priority to obtain orders for managing alcohol withdrawal symptoms, which may require medications like lorazepam.

Question 3 of 5

A postpartum client is experiencing heavy lochia 3 days after delivery. Which action should the nurse take first?

Correct Answer: A

Rationale: Heavy lochia may indicate uterine atony. Massaging the fundus is the first step to promote uterine contraction and reduce bleeding before escalating to other interventions.

Question 4 of 5

During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:

Correct Answer: C

Rationale: Muscular strength against gravity but not resistance is graded as 3 on the 0-5 scale, indicating fair strength.

Question 5 of 5

Which of the following clients is at greatest risk for extravasation?

Correct Answer: B

Rationale: Bendamustine, a chemotherapy drug, is a vesicant, posing a high risk for extravasation, which can cause severe tissue damage if it leaks into surrounding tissues.

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