NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with heart failure. Prior to administration, the nurse checks the client’s apical pulse and finds it to be 52 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: digoxin is withheld if the apical pulse is below 60 beats per minute in adults, as it can exacerbate bradycardia
Question 2 of 5
The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:
Correct Answer: A
Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.
Question 3 of 5
The mother of a child with cystic fibrosis tells the nurse that her child makes 'snoring' sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
Correct Answer: B
Rationale: Nasal polyps are common in cystic fibrosis due to chronic sinus inflammation, causing snoring-like breathing sounds.
Question 4 of 5
The nurse knows the best intervention for preventing a postoperative infection is
Correct Answer: D
Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.
Question 5 of 5
The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?
Correct Answer: D
Rationale: A grand mal seizure is the intended therapeutic effect of ECT, indicating effective treatment for severe depression.