NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

Correct Answer: C

Rationale: Assuming a wide, regular, rapid rhythm (common in critical scenarios), ventricular tachycardia is the most likely arrhythmia, requiring immediate intervention.

Question 2 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 3 of 5

A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor:

Correct Answer: A

Rationale: Platelet count is the primary indicator of treatment response in autoimmune thrombocytopenic purpura, as the condition is characterized by low platelets.

Question 4 of 5

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

Correct Answer: B

Rationale: Hypotension and tachycardia suggest shock, requiring immediate physician notification.

Question 5 of 5

A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?

Correct Answer: D

Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.

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