NCLEX-RN
Safe and Effective Care Environment NCLEX RN Questions Questions
Extract:
Question 1 of 5
What does the medical term 'diaphoresis' mean?
Correct Answer: B
Rationale: The correct answer is B: Profuse sweating. Diaphoresis is a medical term that refers to excessive sweating. It is commonly seen in emergency situations such as heart attacks or diabetic episodes.
Choice A, 'Profuse vomiting,' is incorrect as diaphoresis is not related to vomiting.
Choice C, 'Gasping for air,' is also incorrect as it refers to difficulty breathing, not sweating.
Choice D, 'None of the above,' is incorrect as diaphoresis specifically relates to sweating.
Question 2 of 5
A client has just started a transfusion of packed red blood cells that a physician ordered. Which of the following signs may indicate a transfusion reaction?
Correct Answer: A
Rationale: The correct answer is when the client suddenly complains of back pain and has chills. Signs of a transfusion reaction include back pain, chills, dizziness, increased temperature, and blood in the urine. These signs indicate a possible adverse reaction to the blood transfusion. Dependent edema in the extremities is not typically associated with a transfusion reaction. A seizure is not a common sign of a transfusion reaction unless it is due to severe complications. A decrease in heart rate to 60 bpm is not a typical sign of a transfusion reaction, but rather bradycardia may indicate other underlying conditions or medications.
Question 3 of 5
Which of the following actions is most appropriate for reducing the risk of infection during the post-operative period?
Correct Answer: C
Rationale: The most appropriate action to reduce the risk of infection during the post-operative period is to remove the urinary catheter as soon as the client is ambulatory. Urinary catheters can serve as a source of bacteria, increasing the risk of infection in the bladder or urethra. By removing the catheter promptly once the client is mobile, the risk of infection can be minimized. Option A, flushing the central line with heparin, is not directly related to reducing urinary tract infections. Option B, administering narcotic analgesics as needed, is important for pain management but does not directly address infection prevention. Option D, ordering a high-protein diet, may be beneficial for wound healing but does not specifically target infection risk reduction in the post-operative period.
Question 4 of 5
The NFPA diamond has four colors. The blue diamond:
Correct Answer: A
Rationale: The National Fire Protection Agency (NFP
A) uses a safety diamond to communicate the level of threat posed by a specific chemical. The blue diamond in the NFPA diamond system signifies potential health hazards associated with the use of that chemical.
Choice B is incorrect because the blue diamond does not indicate anything about using water to extinguish fires.
Choice C is incorrect as the NFPA diamond does not provide information on treating injuries.
Choice D is also incorrect as the blue diamond does not suggest incineration upon disposal; it pertains to health hazards.
Question 5 of 5
A physician has ordered that a client must be placed in a high Fowler's position. How does the nurse position this client?
Correct Answer: D
Rationale: A high Fowler's position is a modification of the semi-Fowler's position, in which the client is seated with arms resting at the sides or in the lap. The high Fowler's position requires that the client's head and upper chest are elevated, and the backrest is at a 90-degree angle. This position supports breathing and appropriate chest wall movement, making it easier for the client to breathe.
Choices A, B, and C are incorrect because a high Fowler's position involves the client being in a sitting position with the backrest at a 90-degree angle, not being face-down, lying with the head lower than the feet, or lying on the back with knees drawn up towards the chest.