NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN

Extract:

Question 1 of 5

The nurse is caring for an elderly female client in an extended care facility who has dry age-related macular degeneration (AMD). Which nursing intervention would be the most appropriate?

Correct Answer: B

Rationale: Standing in front of the client maximizes her ability to see the nurse, as dry AMD affects central vision, making clear visual communication essential.

Question 2 of 5

The nurse is caring for a client post-op femoral popliteal bypass graft. Which post-operative assessment finding would require immediate physician notification?

A. Edema of the extremity and pain at the incision site B. A temperature of 99.6Â°F and redness of the incision C. Serous drainage noted at the surgical area D. A loss of posterior tibial and dorsalis pedis pulses

Correct Answer: D

Rationale: Loss of distal pulses indicates potential graft occlusion or arterial compromise, a surgical emergency requiring immediate notification.

Question 3 of 5

The nurse is teaching feeding protocol to the spouse of a client who experienced a severe stroke. Which statement by the spouse indicates a need for further explanation by the nurse?

A. I will not let him use a straw. B. I will turn on the television during meals. C. Instead of whole pills, I will crush the pill and place it in custard. D. He will sit up for a half hour after eating.

Correct Answer: B

Rationale: Turning on the television during meals can distract the client, increasing the risk of aspiration, and requires further teaching. Other statements are appropriate.

Question 4 of 5

The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?

A. The staff maintains a calm manner when interacting with the client. B. The staff attends to client's physical needs as necessary. C. The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety. D. The staff assesses the client's need for medication or seclusion if other interventions have failed to reduce anxiety.

Correct Answer: C

Rationale: in this level of anxiety, client is unable to process thoughts and feelings for problem solving

Question 5 of 5

The nurse is reviewing the lab results of four clients. Which finding should be reported to the physician?

A. A client with chronic renal failure with a serum creatinine of 5.6 mg/dL B. A client with rheumatic fever with a positive C reactive protein C. A client with gastroenteritis with a hematocrit of 52% D. A client with epilepsy with a white cell count of 3,800 mmÂ³

Correct Answer: C

Rationale: A hematocrit of 52% in gastroenteritis suggests dehydration, which requires immediate reporting.

NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN Questions, Nurselytic

Nurselytic

NCLEX-RN

NCLEX-RN

NCLEX RN Practice Exam Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Access More Questions!

NCLEX RN Basic

NCLEX RN Premium