NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:
Correct Answer: B
Rationale: RhoGam prevents the formation of Rh antibodies in Rh-negative mothers exposed to Rh-positive fetal blood, reducing the risk of hemolytic disease in future pregnancies.
Question 3 of 5
A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:
Correct Answer: B
Rationale: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, indicating liver dysfunction, along with hemolysis and low platelet counts.
Question 4 of 5
The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?
Correct Answer: B
Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.
Question 5 of 5
The nurse is to administer a cleansing enema to a client scheduled for colon surgery. Which client position would be appropriate?
Correct Answer: C
Rationale: The left Sim's position allows the enema solution to flow into the sigmoid colon by gravity, facilitating effective cleansing.