NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?
Correct Answer: B
Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.
Question 2 of 5
A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?
Correct Answer: A
Rationale: CVP readings outside 3-8 cm of water may indicate fluid imbalance or catheter issues, requiring physician notification to prevent complications.
Question 3 of 5
A 4-year-old girl has been transferred to a step-down recovery room after a tonsillectomy yesterday. The nurse should place the child in what position while she sleeps?
Correct Answer: D
Rationale: Side-lying position post-tonsillectomy promotes drainage of secretions, reducing airway obstruction risk.
Question 4 of 5
A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:
Correct Answer: D
Rationale: Severe hypertension (180/96) poses a risk to fetal well-being, prioritizing fetal heart tone assessment.
Question 5 of 5
A client is to be discharged on warfarin (Coumadin®) therapy, and the nurse is teaching the client about the medication. Which of the following statements by the client indicates that the client's education has been effective? Select all that apply.
Correct Answer: A,C,D
Rationale: Soft toothbrush (
A), swimming (
C), and Medical Alert bracelet (
D) reduce bleeding risk and ensure safety. Black stools (
B) indicate bleeding, and avoiding all leafy greens (E) is excessive.