NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:
Correct Answer: D
Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).
Question 2 of 5
A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?
Correct Answer: D
Rationale: Fresh peach is naturally low in sodium, unlike processed options.
Question 3 of 5
The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?
Correct Answer: C
Rationale: Head measurement (e.g., head circumference) is the most objective, quantifiable data for assessing hydrocephalus, unlike subjective symptoms like anorexia or vomiting.
Question 4 of 5
A nurse is working at a summer camp for teenagers. Before the camp hiking trip, the nurse creates a presentation about how to prevent Lyme disease. The nurse would include which of the following in the presentation? Select all that apply.
Correct Answer: C,E
Rationale: DEET repellent and tucking pants into socks prevent tick bites. Dark colors attract ticks, rinsing clothes is insufficient, and petroleum jelly is ineffective for tick removal.
Question 5 of 5
The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
Correct Answer: C
Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.