NCLEX RN· Full Length · NCLEX RN Free Practice Questions
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Showing all 10 practice questions with expert explanatory rationales.
Often children are monitored with pulse oximeter. The pulse oximeter measures the:
Expert Explanatory Rationale
Correct Answer: Oxygen saturation of arterial blood
A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is worried about having this surgery, has not slept well lately, and is afraid that her husband will not find her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid and deep. Assessment reveals that the client is:
Expert Explanatory Rationale
Correct Answer: Hyperventilating
The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?
Expert Explanatory Rationale
Correct Answer: Assess for tube placement by aspirating stomach content.
The nurse is assessing a trauma client in the emergency room when she notes a penetrating abdominal wound with exposed viscera. The nurse should:
Expert Explanatory Rationale
Correct Answer: Cover the exposed viscera with a sterile saline gauze.
A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:
Expert Explanatory Rationale
Correct Answer: The nurse can detect bowel sounds in all four quadrants
A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?
Expert Explanatory Rationale
Correct Answer: I can use artificial sweeteners to keep me from gaining too much weight when I get pregnant.
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 24-48 hours postburn?
Expert Explanatory Rationale
Correct Answer: Potential for impaired gas exchange related to edema of respiratory tract
A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:
Expert Explanatory Rationale
Correct Answer: Explain that his vital signs will be checked frequently after the test
In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?
Expert Explanatory Rationale
Correct Answer: Right coronary artery
Which finding is expected in the normal newborn?
Expert Explanatory Rationale
Correct Answer: Moro reflex
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