NCLEX RN· Reduction of Risk Potential · Reduction of Risk Potential NCLEX RN Questions
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is preparing to remove a peripheral IV from a client. Which nursing action is the priority with this procedure?
Expert Explanatory Rationale
Correct Answer: holding pressure on the site until hemostasis is achieved
A client is scheduled for a CT of the brain with and without IV contrast dye to evaluate a possible hemorrhage. Which finding in the client's history should the nurse report immediately to the health care provider?
Expert Explanatory Rationale
Correct Answer: allergy to shellfish
The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client's level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?
Expert Explanatory Rationale
Correct Answer: RSS 3
The nurse is assessing a client with a diagnosis of chronic obstructive pulmonary disease (COPD) exacerbation. Which finding would be expected for this client?
Expert Explanatory Rationale
Correct Answer: hypoxemia and hypercarbia
A nurse is monitoring a client's intracranial pressure (ICP) after a motor vehicle accident. Upon checking the ICP, the nurse knows to contact the physician. What reading would warrant this action?
Expert Explanatory Rationale
Correct Answer: 22 mm Hg
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