NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?
Correct Answer: C
Rationale: A hemoglobin of 7 gm indicates significant blood loss, requiring immediate physician notification.
Question 2 of 5
An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:
Correct Answer: B
Rationale: Monitoring pulse and respirations helps assess cardiac function and detect complications early in a client with cardiac disease.
Question 3 of 5
The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?
Correct Answer: D
Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.
Question 4 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 5 of 5
The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:
Correct Answer: C
Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.