Nclex-rn Questions And Answers With Rationale Pdf Free Download [2021] -

A nurse has just received the shift report for four patients. Which patient should the nurse assess first?

Memorizing answers won't help you pass the NCLEX. The exam is adaptive (CAT), meaning it measures your ability to apply clinical judgment in real-time. Rationales provide: A nurse has just received the shift report for four patients

Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with heart failure experiencing orthopnea (shortness of breath while lying flat) is the priority. This indicates potential pulmonary edema or worsening cardiac status. While the post-op patient (A) needs assessment for urinary retention and the fracture patient (C) needs pain management, respiratory distress always takes precedence. 2. Pharmacology and Parenteral Therapies The exam is adaptive (CAT), meaning it measures

Rationale: Hypokalemia (low potassium) significantly increases the risk of Digoxin toxicity . The nurse must ensure potassium levels are within the normal range (3.5–5.0 mEq/L) before administration. Digoxin toxicity can lead to life-threatening arrhythmias. 3. Safety and Infection Control While the post-op patient (A) needs assessment for

A. A 45-year-old patient who had an abdominal surgery 8 hours ago and has not voided.