NCLEX RN· Reduction of Risk Potential · RN Reduction of Risk Potential NCLEX
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
An elderly man is admitted to the ED during the night shift. He reports slipping and hitting his forehead on the bathtub several hours earlier. The nurse is assessing the client's frontal lobe function. Which of the following questions/statements should the nurse ask the client?
Expert Explanatory Rationale
Correct Answer: How much is two plus four plus seven?
A 2-month-old infant has been brought to the ED. Which finding by the nurse would raise suspicion for shaken baby syndrome?
Expert Explanatory Rationale
Correct Answer: greater-than-expected head circumference and bulging fontanels
The nurse is caring for a client who just had an arteriovenous (AV) fistula placed for dialysis. The nurse is providing home care instructions to the client. Which statement by the client indicates a need for further teaching by the nurse?
Expert Explanatory Rationale
Correct Answer: I should wear tight sleeves to protect and support the fistula so I don't bend it.
The nurse is preparing to perform a focused abdominal assessment on a client. Which is the correct order of this assessment?
Expert Explanatory Rationale
Correct Answer: inspection, auscultation, palpation, percussion
The nurse is performing an admission assessment on a client with thrombocytopenia. Which signs and symptoms and lab findings would the nurse expect to see in this client? Select all that apply.
Expert Explanatory Rationale
Correct Answer:
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