NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:
Correct Answer: A
Rationale: The phlebostatic axis (4th intercostal space, mid-axillary line) is the standard reference point for accurate central venous pressure measurement.
Question 2 of 5
A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
Correct Answer: A
Rationale: A supportive environment fosters trust and safety, critical for a client with PTSD to begin processing trauma.
Question 3 of 5
The nurse is caring for a client following a right nephrolithotomy. Postoperatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side reduces pressure on the surgical site (right kidney), promoting comfort and minimizing complications.
Question 4 of 5
A nurse is caring for a client with Parkinson's disease who takes an MAOI as part of the medication regimen. Which item on the lunch tray would the nurse remove?
Correct Answer: A
Rationale: Cheese contains tyramine, which can cause a hypertensive crisis in clients taking MAOIs. Other items are safe.
Question 5 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.