Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse is teaching a client with a new diagnosis of hypertension about lifestyle modifications. Which of the following recommendations is most effective?

Correct Answer: B

Rationale: Reducing alcohol consumption lowers blood pressure by decreasing vascular resistance and fluid retention.

Question 2 of 5

Select the risk factor that is accurately paired with its disorder.

Correct Answer: D

Rationale: Hypomagnesemia is associated with Crohn's disease due to malabsorption and chronic diarrhea, which lead to magnesium loss.

Question 3 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 4 of 5

A client just been diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately?

Correct Answer: B

Rationale: The client with hyperkalemia is at risk of developing cardiac dysrhythmias and resultant cardiac arrest. Because of this, the primary health care provider must be notified at once so that the client may receive definitive treatment. The nurse might also check the result of a serum sodium level, but this is not a priority action of the nurse. Fluid intake would not be increased because it would contribute to fluid overload and would not effectively lower the serum potassium level. Dietary teaching may be necessary at some point, but this action is not the priority.

Question 5 of 5

Which question is asked more than any other root cause analysis activity?

Correct Answer: B

Rationale: The 'Why?' question is central to root cause analysis, as it drives the investigation into the underlying causes of an event through techniques like the '5 Whys.'

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