NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is taking care of a 12-year-old male who sustained 30% full-thickness burns on his chest and arms 20 hours ago. To maintain optimal fluid and electrolyte balance, the nurse expects to administer which of the following?
Correct Answer: A
Rationale: Lactated Ringer's is the standard fluid for burn resuscitation to restore fluid and electrolyte balance, as it closely mimics the body's extracellular fluid.
Question 2 of 5
A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
Correct Answer: D
Rationale: Checking for swelling is critical to detect complications like compartment syndrome in a spica cast.
Question 3 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 4 of 5
A nurse is preparing to lift a client up in bed. Which of the following should the nurse do to help avoid injuring his back?
Correct Answer: C
Rationale: Tightening stomach and leg muscles stabilizes the core, reducing back strain during lifting.
Question 5 of 5
The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:
Correct Answer: D
Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.