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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

Correct Answer: D

Rationale: should assess client to determine amount and cause of bleeding

Question 2 of 5

A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?

Correct Answer: B

Rationale: Pancreatitis can cause nausea and vomiting, and a Levine tube (nasogastric tube) is often used to decompress the stomach and prevent aspiration, which is a priority in the ICU setting.

Question 3 of 5

The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?

Correct Answer: C

Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.

Question 4 of 5

The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.

Order the Items

Source Container

Grasping draw sheet at shoulder and lower hips, roll patient on count of three.
Place a small pillow between client's knees.
Place pillows along length of client's back.
Cross client's arms across chest.

Correct Answer: D,B,A,C

Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.

Question 5 of 5

A 40-year-old male client has been diagnosed with Huntington disease and his spouse asks the nurse if their 3-year-old son should be tested to determine if the son inherited the genetic disorder. Which of the following is the most appropriate response?

Correct Answer: B

Rationale: Referring to a genetic counselor (
B) ensures informed decision-making about testing a child for Huntington's. Other responses (A, C,
D) are directive or dismissive.

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