Questions 40

NCLEX-RN

Home > NCLEX-RN > RN Leadership and Management > NCLEX Leadership and Management
NCLEX-RN Test Bank

NCLEX Leadership and Management Questions

Extract:


Question 1 of 5

The nurse in the emergency department (ED) is assessing a client involved in a motor vehicle crash who sustained a penetrating abdominal trauma. The client’s vital signs are: T 97.5°F (36.4°C); P 108 bpm; RR 22; BP 98/64 mm Hg; pulse oximetry 94% on room air. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Reassessing vital signs (
D) is the first action to confirm stability or deterioration in a client with penetrating abdominal trauma and tachycardia/hypotension, guiding further interventions. Surgery prep (
A), NG tube (
B), and bowel sounds (
C) follow reassessment.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

The nurse has received the following information about assigned clients. The nurse should initially assess the client who is at
The nurse is planning client care assignments. Which task should be delegated to the unlicensed assistive personnel (UAP)?
You are the nurse manager of the surgical acute care unit. You have noticed that several clients have almost been sent to the preoperative suite when they are not scheduled for a planned surgical procedure. Fortunately, no clients have gotten a 'wrong surgery' because this possible error was caught in time. What is your priority action as the nurse manager?
The nurse plans care for a client with a vancomycin-resistant enterococcus (VRE) infection. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
The nurse is admitting a client who is blind and deaf. The nurse should prioritize which action?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days