NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The physician has ordered increased oral hydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with the removal of renal calculi is:
Correct Answer: D
Rationale: A fluid intake of 200 mL per hour promotes urine output to facilitate stone passage.
Question 2 of 5
The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:
Correct Answer: B
Rationale: RhoGam prevents the formation of Rh antibodies in Rh-negative mothers exposed to Rh-positive fetal blood, reducing the risk of hemolytic disease in future pregnancies.
Question 3 of 5
The nurse is caring for a client on a ventilator that is set on intermittent mandatory ventilation (IMV). Assessment on the ventilator is IMV mode of 8 breaths per minute. The nurse assesses the client's respiratory rate of 13 per minute. These findings indicate that:
Correct Answer: D
Rationale: IMV delivers a set number of breaths (8 per minute), but the client can breathe spontaneously. A respiratory rate of 13 indicates the client is taking 5 additional spontaneous breaths (13 - 8 = 5).
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
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to cyanosis or blackened areas (gangrene) in distal areas like the toes due to lack of blood flow.