NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The physician has ordered Dilantin (phenytoin) 100 mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:
Correct Answer: C
Rationale: Phenytoin should be administered slowly over 2-3 minutes to prevent cardiovascular complications such as hypotension and arrhythmias.
Question 2 of 5
A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. The nurse would determine that these clinical manifestations are indicative of:
Correct Answer: B
Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, a complication of immobility from a fracture. The other conditions have different presentations.
Question 3 of 5
The computers for documenting client care and treatment are located at the nursing station. Which of the following is the most important consideration regarding the computers?
Correct Answer: C
Rationale: Positioning computer screens away from unauthorized viewers (
C) protects patient confidentiality, a critical aspect of HIPAA compliance. Height (
A), ratio (
B), and brand (
D) are secondary considerations.
Question 4 of 5
While interviewing a client who abuses alcohol, the nurse learns that the client has experienced 'blackouts.' The wife asks what this means. The best response at this time is:
Correct Answer: A
Rationale: Blackouts in alcohol abuse refer to short-term memory amnesia, where the client cannot recall events during intoxication despite appearing conscious.
Question 5 of 5
A school nurse is suspicious that a child is being physically abused at home. The nurse's responsibility is to
Correct Answer: D
Rationale: Nurses are mandated reporters and must report suspected child abuse to local authorities for investigation, prioritizing child safety.