Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

What is the primary goal of nursing care during the emergent phase after a burn injury?

Correct Answer: A

Rationale: Replacing lost fluids is the primary goal in the emergent phase to prevent hypovolemic shock due to fluid loss from burns.

Question 2 of 5

Which sound should you expect to hear when you percuss the liver during a complete physical assessment?

Correct Answer: D

Rationale: The liver, a solid organ, produces a dull sound when percussed, as opposed to the tympanic sound of air-filled structures or the resonant sound of lung tissue.

Question 3 of 5

The nurse is to administer a bolus starting dose of heparin to a child who is taking penicillin. What should the nurse do? Select all that apply.

Correct Answer: A,C,D

Rationale: Verifying the dose, administering a maintenance infusion, and monitoring PTT are standard for heparin therapy. Heparin's onset is immediate for I.V. but not a primary concern. Penicillin does not need discontinuation.

Question 4 of 5

A 6-year-old child is admitted with suspected appendicitis. Which symptom should the nurse prioritize when assessing this child?

Correct Answer: C

Rationale: Rebound tenderness in the right lower quadrant is a hallmark sign of appendicitis, indicating peritoneal irritation and requiring urgent surgical evaluation.

Question 5 of 5

A client with a history of type 2 diabetes mellitus is prescribed metformin (Glucophage). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: C

Rationale: Lactic acidosis is a rare but serious side effect of metformin, requiring immediate reporting of symptoms like muscle pain or weakness.

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