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
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 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 finds a client crying after she was told hemodialysis is needed due to the development of acute renal failure. Which intervention is best?
Correct Answer: B
Rationale: Quietly sitting with the client provides emotional support and presence, allowing her to process the diagnosis without imposing solutions.
Question 5 of 5
A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?
Correct Answer: C
Rationale: complete nursing history includes biopsychosocial data; client’s psychosocial and physical status are evaluated along with an assessment of the client’s family system and social support network; evaluation of the client’s cognitive ability is important during the physiological status assessment