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

Questions 148

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions

Extract:


Question 1 of 5

The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?

Correct Answer: B

Rationale: rebound tenderness at McBurney’s point is a classic sign of appendicitis

Question 2 of 5

A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:

Correct Answer: C

Rationale: Buck's traction is used to immobilize a fractured femur, reduce pain, and prevent further injury until surgical intervention.

Question 3 of 5

A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?

Correct Answer: A

Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.

Question 4 of 5

The nurse asked the client if he has an advance directive. The reason for asking the client this question is:

Correct Answer: B

Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.

Question 5 of 5

The nurse is reviewing labs for a client whose potassium level is 5.3 mEq/L. Which order should the nurse anticipate from the health care provider?

Correct Answer: D

Rationale: A potassium level of 5.3 mEq/L indicates mild hyperkalemia, and Kayexalate may be ordered to lower it. K-Dur would worsen the condition.

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