NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:
Correct Answer: D
Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.
Question 2 of 5
The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:
Correct Answer: A
Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.
Question 3 of 5
A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. The nurse would determine that these clinical manifestations are indicative of:
Correct Answer: B
Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, a complication of immobility from a fracture. The other conditions have different presentations.
Question 4 of 5
The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:
Correct Answer: D
Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.
Question 5 of 5
The nurse is precepting a student nurse on the postsurgical floor. The student nurse needs to draw a potassium level. Which of the following statements by the student nurse is correct regarding blood draws from venous catheters?
Correct Answer: B
Rationale: Flushing with 10–20 mL of saline after drawing blood from a catheter prevents clotting and maintains patency. Peripheral catheters are not ideal for blood draws, central lines carry risks, and large needles can cause hemolysis.