Questions 150

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Exam Practice Questions Questions

Extract:


Question 1 of 5

Which neurological complication can occur when a vest restraint is too tight around the client's body?

Correct Answer: A

Rationale: A too-tight vest restraint can cause strangulation, a life-threatening complication, by restricting breathing or neck movement.

Question 2 of 5

A client with a history of anxiety is prescribed buspirone (Buspar). The nurse should instruct the client that:

Correct Answer: A

Rationale: Buspirone requires 2–4 weeks to achieve therapeutic effects, unlike as-needed anxiolytics.

Question 3 of 5

The mother of the child diagnosed with Kawasaki disease asks the nurse about the disorder. On which description of this disorder should the nurse base the response to the mother?

Correct Answer: C

Rationale: Kawasaki disease, also called mucocutaneous lymph node syndrome, is a febrile generalized vasculitis of unknown etiology. Option 1 describes human immunodeficiency virus infection. Option 2 describes systemic lupus erythematosus. Option 4 describes rheumatic fever.

Question 4 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would support this diagnosis? Select all that apply.

Correct Answer: A, B, C, D, E

Rationale: Dehydration presents with sunken fontanelles, tachycardia, increased urine specific gravity, dry skin, and hypotension due to fluid loss.

Question 5 of 5

The nurse is caring for a client with a history of burns covering 30% of the body. Which of the following interventions should be prioritized?

Correct Answer: A

Rationale: I.V. fluids are the priority to replace fluid loss and prevent hypovolemic shock in burn injuries.

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