Questions 150

NCLEX-RN

NCLEX-RN Test Bank

Best NCLEX RN Question Bank Questions

Extract:


Question 1 of 5

The nurse is preparing a client for a thoracentesis. How should the nurse position the client for the procedure?

Correct Answer: D

Rationale: Sitting forward with arms supported allows optimal access to the pleural space and ensures client comfort during thoracentesis.

Question 2 of 5

The nurse is caring for a client with a ventricular shunt for hydrocephalus. Which finding requires immediate reporting?

Correct Answer: A

Rationale: Clear drainage from a shunt incision may indicate cerebrospinal fluid leakage, a serious complication requiring immediate reporting.

Question 3 of 5

A client with a diagnosis of chronic heart failure is prescribed digoxin (Lanoxin). The nurse should monitor the client for which of the following signs of toxicity?

Correct Answer: B

Rationale: Yellow vision is a classic sign of digoxin toxicity, indicating the need for immediate evaluation.

Question 4 of 5

Which of these is a form of therapeutic communication?

Correct Answer: D

Rationale: Silence is a therapeutic communication technique that allows the client time to process thoughts and emotions, fostering reflection.

Question 5 of 5

Which of the following should the nurse do first for a toddler just admitted with croup?

Correct Answer: B

Rationale: Assessing respiratory status is the priority for a toddler with croup, as airway obstruction is a primary concern. Vital signs, fluids, and tracheostomy preparation are secondary.

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