NCLEX RN· RN Fundamentals of Nursing · Fundamentals of Nursing NCLEX RN Questions
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Showing all 5 practice questions with expert explanatory rationales.
The nurse is observing a student perform a physical assessment. It will demonstrate appropriate technique if the student assesses for stereognosis by instructing the client to
Expert Explanatory Rationale
Correct Answer: Close their eyes, place an object in their hand, and ask them to identify it.
The nurse is reviewing the assessment findings of a 5-year-old child. The nurse recognizes which vital sign is not within normal limits?
Expert Explanatory Rationale
Correct Answer: Respiratory rate 24
The nurse performs palpation and percussion during a head-to-toe assessment. Over which organ would the nurse expect to hear tympany when percussed?
Expert Explanatory Rationale
Correct Answer: Stomach
The nurse is performing a health assessment on a client. While performing percussion, which percussion sound would require follow-up?
Expert Explanatory Rationale
Correct Answer: Hyperresonance over an adult's lung tissue
The nurse cares for a client and receives a phone call from the laboratory department regarding a critical sodium level of 122 mEq/L (mmol/L) [135-145 mEq/L, mmol/L]. The nurse should take which initial action?
Expert Explanatory Rationale
Correct Answer: Read back the result for verification
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