NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer the first dose of intravenous immunoglobulin (IVIG) to a 50-year-old female adult client admitted to the hospital with Guillain-Barre syndrome. Which nursing intervention is appropriate regarding administration?
Correct Answer: B
Rationale: Monitoring vital signs before and during IVIG infusion detects adverse reactions (e.g., anaphylaxis) early, ensuring client safety.
Question 2 of 5
After a train accident, the nurse is assigned to triage the injured. Based upon the triage protocol, which individual should be seen last?
Correct Answer: C
Rationale: Triage prioritizes life-threatening conditions. The 25-year-old with minor injuries (abrasion, swollen ankle) is the least urgent compared to potential cardiac, neurological, or traumatic injuries.
Question 3 of 5
A 4-year-old is admitted to the hospital for treatment of Kawasaki's disease. The medication commonly prescribed for the treatment of Kawasaki's disease is:
Correct Answer: A
Rationale: Aspirin is used in Kawasaki's disease to reduce inflammation and prevent coronary artery complications, often with intravenous immunoglobulin.
Question 4 of 5
The nurse is caring for a client who is at risk for altered fluid balance. Which signs and symptoms of dehydration would the nurse expect to find in this client? Select all that apply.
Correct Answer: B, C
Rationale: Increased hematocrit and orthostatic hypotension are signs of dehydration due to reduced plasma volume, while bounding pulses and decreased urine specific gravity are not typical.
Question 5 of 5
The nurse is caring for a client with a diagnosis of fluid overload caused by congestive heart failure. Which findings would the nurse expect to find when reviewing client labs? Select all that apply.
Correct Answer: A,D
Rationale: Fluid overload in CHF dilutes BUN and sodium, leading to decreased levels. Hematocrit decreases, and osmolality is typically normal or low.