NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of cirrhosis. Which of the following laboratory findings indicates a worsening condition?
Correct Answer: A
Rationale: Elevated ammonia levels indicate worsening liver function and potential hepatic encephalopathy in cirrhosis.
Question 2 of 5
While obtaining the vital signs on a mother who delivered a healthy newborn 2 hours ago the nurse notes that the mother's temperature is 102°F. Which is the appropriate nursing action at this time?
Correct Answer: A
Rationale: Vital signs usually return to normal within the first hour postpartum if no complications arise. A slight elevation in the temperature may be noted if the client is experiencing dehydrating effects that can occur from labor. A temperature of 102°F indicates infection, and the primary health care provider should be notified. The remaining options are inaccurate nursing interventions for a temperature of 102°F 2 hours after delivery.
Question 3 of 5
Which federal law is most closely associated with the highly restrictive 'need to know'?
Correct Answer: C
Rationale: The Health Insurance Portability and Accountability Act (HIPA
A) enforces the 'need to know' principle, restricting access to protected health information to only those who require it for their job functions.
Question 4 of 5
Select the hazard of immobility that is accurately paired with an appropriate expected outcome of care that the nurse provides to prevent this complication.
Correct Answer: C
Rationale: Range of motion exercises help prevent muscle atrophy by maintaining muscle strength and function in immobile clients.
Question 5 of 5
The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings indicates autonomic dysreflexia?
Correct Answer: A
Rationale: Autonomic dysreflexia presents with bradycardia and hypertension due to unopposed sympathetic stimulation below the injury level.