NCLEX Questions, NCLEX RN Practice Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?

Correct Answer: C

Rationale: safety is a priority for the client who is at high risk for infection

Question 2 of 5

The nurse is teaching feeding protocol to the spouse of a client who experienced a severe stroke. Which statement by the spouse indicates a need for further explanation by the nurse?

Correct Answer: B

Rationale: Turning on the television during meals can distract the client, increasing the risk of aspiration, and requires further teaching. Other statements are appropriate.

Question 3 of 5

The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

Correct Answer: A

Rationale: A ventricular septal defect causes increased pulmonary blood flow, leading to easy tiring due to cardiac workload.

Question 4 of 5

Which developmental milestone puts the 4-month-old infant at greatest risk for injury?

Correct Answer: D

Rationale: Rolling over at 4 months increases the risk of falling from elevated surfaces like changing tables, a common cause of injury.

Question 5 of 5

The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the removal, the nurse should instruct the client to:

Correct Answer: B

Rationale: Holding breath and bearing down (Valsalva maneuver) prevents air entry into the pleural space during chest tube removal.

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