NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client following a right nephrolithotomy. Postoperatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side reduces pressure on the surgical site (right kidney), promoting comfort and minimizing complications.
Question 2 of 5
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to cyanosis or blackened areas (gangrene) in distal areas like the toes due to lack of blood flow.
Question 3 of 5
The physician has ordered increased oral hydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with the removal of renal calculi is:
Correct Answer: D
Rationale: A fluid intake of 200 mL per hour promotes urine output to facilitate stone passage.
Question 4 of 5
A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs, the nurse should:
Correct Answer: C
Rationale: Turning the client hourly promotes ventilation and perfusion by mobilizing secretions and preventing atelectasis in ARDS.
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.