NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is at risk for altered fluid balance. Which signs and symptoms of dehydration would the nurse expect to find in this client? Select all that apply.
Correct Answer: B, C
Rationale: Increased hematocrit and orthostatic hypotension are signs of dehydration due to reduced plasma volume, while bounding pulses and decreased urine specific gravity are not typical.
Question 2 of 5
During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:
Correct Answer: A
Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.
Question 3 of 5
The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?
Correct Answer: B
Rationale: A barium enema is contraindicated in acute diverticulitis due to the risk of perforation and peritonitis.
Question 4 of 5
The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?
Correct Answer: D
Rationale: Sitting or high Fowler's position maximizes lung expansion and diaphragmatic movement, critical for myasthenia gravis patients with respiratory weakness.
Question 5 of 5
Which action by the healthcare worker indicates a need for further teaching?
Correct Answer: D
Rationale: Wearing gloves to monitor the IV infusion rate is unnecessary unless contact with bodily fluids is anticipated, indicating a need for further teaching on infection control.