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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is intubated and on the ventilator. The client is alert but cannot talk while intubated. Which method of communication would be the best choice for this client?

Correct Answer: B

Rationale: A picture board allows clear, non-verbal communication for an alert, intubated client, minimizing misinterpretation compared to writing, mouthing, or blinking.

Question 2 of 5

Which of the following diet instructions should be given to the client with recurring urinary tract infections?

Correct Answer: D

Rationale: Cranberry juice acidifies urine, reducing bacterial growth and preventing urinary tract infections.

Question 3 of 5

A client comes to the emergency department with scalding burns covering his entire left arm, anterior and posterior surfaces. Using the rule of nines, how much total body surface area (TBSA) has been burned? Record your answer using a whole number.

Correct Answer: 18

Rationale: Rule of nines: Entire arm (anterior and posterior) = 9% per arm. Left arm burn = 9% X 2 surfaces = 18% TBSA.

Question 4 of 5

An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at 1 year?

Correct Answer: D

Rationale: Infants typically triple their birth weight by 1 year; 8 pounds x 3 = 24 pounds.

Question 5 of 5

A client nearing death has an Advance Directive in his records indicating that he does not want intravenous fluids or other invasive procedures, but the client's physician has ordered IV fluids. Which of the following initial actions by the nurse is most appropriate?

Correct Answer: B

Rationale: The nurse should first inform the physician of the Advance Directive (
B) to ensure the client's wishes are followed, as this is a legal document. Administering fluids (
C) violates the directive, and notifying the bioethics committee (
A) or supervisor (
D) is secondary.

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