NCLEX RN· Reduction of Risk Potential · Reduction of Risk Potential RN Nursing
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is caring for a client in the cardiac unit and notices the client's rhythm changes from normal sinus rhythm to coarse ventricular fibrillation. Which is the priority nursing action?
Expert Explanatory Rationale
Correct Answer: initiate CPR while waiting on help to arrive
A client is having a tonic-clonic seizure. Which of the following should the nurse do first?
Expert Explanatory Rationale
Correct Answer: provide a safe environment
The nurse is performing discharging instruction for a female client with cystitis. Which statement by the client indicates a need for further teaching?
Expert Explanatory Rationale
Correct Answer: I can continue using spermicide for birth control.
The nurse is educating a client who has been ordered to wear a Holter monitor. Which statement by the client indicates a need for further education by the nurse?
Expert Explanatory Rationale
Correct Answer: I can wear the monitor while I shower.
The nurse is caring for an adult client with a total bilirubin of 2.1 mg/dL. Which signs and symptoms would the nurse expect to find? Select all that apply.
Expert Explanatory Rationale
Correct Answer:
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