NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of burns. Which of the following complications should the nurse monitor for in the acute phase?
Correct Answer: A
Rationale: Hypovolemia is a major complication in the acute phase of burns due to fluid loss.
Question 2 of 5
You are planning discharge education for your client who has a new colostomy. Which complication of a colostomy should you educate this client about?
Correct Answer: A
Rationale: A prolapsed stoma is a potential complication of a colostomy, and clients should be educated to recognize and report it.
Question 3 of 5
A client with a history of bipolar disorder is prescribed lithium. The nurse should instruct the client to:
Correct Answer: A
Rationale: Consistent sodium intake prevents lithium toxicity, as sodium fluctuations affect lithium levels.
Question 4 of 5
The registered nurse is observing a new nurse auscultate the breath sounds of a client. Which action by the new nurse should lead the registered nurse to determine that further teaching is needed?
Correct Answer: A
Rationale: The bell of the stethoscope is not used to auscultate breath sounds. The client ideally should sit up and breathe slowly and deeply through the mouth. The diaphragm of the stethoscope, which is warmed before use, is placed directly on the client's skin, not over a gown or clothing.
Question 5 of 5
Which statement about Respondeat Superior is accurate?
Correct Answer: A
Rationale: Respondeat Superior is a legal doctrine holding employers liable for employees' actions within the scope of employment, but it does not absolve nurses from personal liability for negligence.