NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is planning to initiate a blood transfusion. Which of the following solutions should the nurse select to prime the tubing when preparing to administer the blood?
Correct Answer: B
Rationale: Normal saline is compatible with blood and used to prime tubing to prevent hemolysis or clotting.
Question 2 of 5
The CRIES scale is used to:
Correct Answer: D
Rationale: The CRIES scale is a neonatal pain assessment tool used to evaluate pain based on crying, oxygen requirement, vital signs, facial expression, and sleeplessness.
Question 3 of 5
A client with a history of schizophrenia is prescribed paliperidone (Invega). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Paliperidone can cause hyperprolactinemia, leading to symptoms like galactorrhea.
Question 4 of 5
The nurse is monitoring for the presence of pitting edema in the prenatal client. The nurse presses the fingertips of the middle and index fingers against the shin in 4 different locations and holds pressure for 2 to 3 seconds. The nurse notes that the indentation is approximately 1-inch deep. The nurse should document that the client has which level of pitting edema?
Correct Answer: D
Rationale: When evaluating the presence of pitting edema, the nurse presses the fingertips of the index and middle fingers against the shin and holds pressure for 2 to 3 seconds. An indentation approximately 1-inch deep would be indicative of +4 edema. A slight indentation would indicate +1 edema. An indentation approximately 1/4-inch deep indicates +2 edema. An indentation approximately 1/2-inch deep indicates +3 edema.
Question 5 of 5
Which of these stress management techniques employs deep focused breathing, movement and meditation?
Correct Answer: B
Rationale: Tai Chi combines deep breathing, slow movements, and meditation, making it an effective stress management technique.