NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
Correct Answer: C
Rationale: Daily measurement of abdominal girth is the most sensitive method to detect early ascites by tracking subtle increases in abdominal size.
Question 2 of 5
The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?
Correct Answer: B
Rationale: irreversible disease that leads to permanent physical limitations
Question 3 of 5
A 92-year-old male client with Alzheimer's frequently experiences urinary incontinence. Which intervention should the nurse do first?
Correct Answer: D
Rationale: Offering the urinal every 2 hours promotes continence and dignity, addressing incontinence non-invasively before considering catheters or diapers.
Question 4 of 5
A client with inflammatory bowel disease (IBD) requires an ileostomy. The nurse would instruct the client to do which of the following measures as an essential part of caring for the stoma?
Correct Answer: D
Rationale: Meticulous cleansing of the peristomal skin prevents irritation and infection, which is critical for ileostomy care.
Question 5 of 5
The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?
Correct Answer: B
Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.