NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is discussing meal planning with the mother of a 2-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?
Correct Answer: C
Rationale: Hot dogs pose a choking hazard for a 2-year-old due to their size and texture, requiring further instruction.
Question 2 of 5
A nurse is working at a summer camp for teenagers. Before the camp hiking trip, the nurse creates a presentation about how to prevent Lyme disease. The nurse would include which of the following in the presentation? Select all that apply.
Correct Answer: C,E
Rationale: DEET repellent and tucking pants into socks prevent tick bites. Dark colors attract ticks, rinsing clothes is insufficient, and petroleum jelly is ineffective for tick removal.
Question 3 of 5
The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?
Correct Answer: D
Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.
Question 4 of 5
The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:
Correct Answer: D
Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).
Question 5 of 5
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to cyanosis or blackened areas (gangrene) in distal areas like the toes due to lack of blood flow.