Questions 40

NCLEX-RN

NCLEX-RN Test Bank

NCLEX Leadership and Management Questions Questions

Extract:


Question 1 of 5

The nurse working on a medical-surgical unit has just received a change-of-shift report. The nurse should initially assess the client who is

Correct Answer: C

Rationale: Dizziness with Clostridium difficile infection (
C) suggests dehydration or electrolyte imbalance, which can lead to falls or cardiovascular instability, requiring immediate assessment. A PaCO2 of 50 mm Hg in chronic emphysema (
A) is often a baseline finding, TB medication refusal (
B) is concerning but not immediately life-threatening, and fever in pyelonephritis (
D) is expected and less urgent than acute instability.

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:

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