NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 16 of 35, with answer review and explanations.

Question 76

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:

  1. In neurogenic shock, the skin is warm and dry
  2. In hypovolemic shock, there is a bradycardia
  3. In hypovolemic shock, capillary refill is less than 2 seconds
  4. In neurogenic shock, there is delayed capillary refill

Question 77

Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?

  1. Increased core body temperature
  2. Decreased serum osmolality
  3. Administration of hypo-osmolar fluids
  4. Decreased PaCO2

Question 78

A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:

  1. Pass a nasogastric tube through the left nostril
  2. Place a 4 X 4 gauze in the nares to impede the flow
  3. Gently suction the nasal drainage to protect the airway
  4. Perform a halo test and glucose level on the drainage

Question 79

A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:

  1. Dizziness and tachypnea
  2. Circumoral pallor and lightheadedness
  3. Headache and facial flushing
  4. Pallor and itching of the face and neck

Question 80

The initial treatment for a client with a liquid chemical burn injury is to:

  1. Irrigate the area with neutralizing solutions
  2. Flush the exposed area with large amounts of water
  3. Inject calcium chloride into the burned area
  4. Apply lanolin ointment to the area