Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions with Detailed Explanations Questions

Extract:


Question 1 of 5

Which of the following signs and symptoms is an early indication that a client has developed hypocalcemia?

Correct Answer: A

Rationale: Tingling in the fingers is an early sign of hypocalcemia due to neuromuscular irritability. Depressed reflexes, dysrhythmias, and memory changes are later or less specific.

Question 2 of 5

The nurse is caring for a postoperative client who reports a pain level of 8 out of 10. The client has an order for morphine 4 mg IV every 4 hours as needed. What is the nurse's priority action?

Correct Answer: B

Rationale: Assessing vital signs and pain characteristics ensures the pain is accurately evaluated and the morphine is safe to administer, considering potential side effects like respiratory depression.

Question 3 of 5

The nurse is assessing a client's disposable closed chest drainage system at the beginning of the shift and notes continuous bubbling in the water-seal chamber. What should the nurse determine is the possible cause of the bubbling?

Correct Answer: D

Rationale: Continuous bubbling in the water-seal chamber through both inspiration and expiration indicates that air is leaking into the system. A resolving pneumothorax would show intermittent bubbling in the water-seal chamber with respiration. Shutting the suction off to the system stops bubbling in the suction control chamber, but does not affect the water-seal chamber.

Question 4 of 5

The nurse is caring for a client with a history of breast cancer who is receiving radiation therapy. Which of the following instructions should the nurse include in the client's teaching?

Correct Answer: B

Rationale: Avoiding sunlight exposure protects the radiated skin from further damage and reduces irritation.

Question 5 of 5

Which of these statements related to information technology is accurate?

Correct Answer: B

Rationale: The most common breaches of healthcare data security occur internally by staff , through actions like unauthorized access or improper handling of information, rather than external hackers or low-risk social media . Data deletion does not always destroy all evidence.

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