NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a closed head injury. A late sign of increased intracranial pressure is:
Correct Answer: A
Rationale: Changes in pupil equality and reactivity are late signs of increased intracranial pressure, indicating neurological deterioration.
Question 2 of 5
A 20-year-old woman who has been laboring at home for several hours has been admitted to the labor and delivery unit at the hospital. The nurse has come in to assess her progress. Which of the following is indicative of being in the active phase of labor?
Correct Answer: A
Rationale: The active phase of labor involves cervical dilation of 4-7 cm with contractions 3-5 minutes apart lasting 40-60 seconds. Option A fits this description.
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
A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?
Correct Answer: C
Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.
Question 5 of 5
Which of the following clients has the highest risk for pulmonary complications after surgery?
Correct Answer: B
Rationale: Open cholecystectomy involves an upper abdominal incision, increasing the risk of pulmonary complications due to pain limiting deep breathing and coughing.