NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A client develops anaphylaxis syndrome and loses consciousness after eating fruit salad containing kiwi fruit, to which the client is severely allergic. The nurse is aware that the initial concern is which of the following?
Correct Answer: A
Rationale: In anaphylaxis with unconsciousness, the initial priority is to establish a patent airway (
A) to ensure adequate oxygenation. Epinephrine (
D), oxygen (
C), and fluids (
B) follow but are secondary to airway management.
Question 2 of 5
The following clients are to be assigned for daily care. The newly licensed nurse should not be assigned to provide primary care for the client with:
Correct Answer: D
Rationale: ARDS requires complex respiratory management, which is beyond the scope of a newly licensed nurse.
Question 3 of 5
Which of the following is a core measure set developed by the Joint Commission?
Correct Answer: D
Rationale: Heart failure is a Joint Commission core measure set, focusing on improving care quality for common conditions. The others are not core measures.
Question 4 of 5
A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose of this medication and notify the physician if which of the following is observed on the cardiac monitor?
Correct Answer: D
Rationale: prolongation of the QT interval is a side effect that can lead to torsades de pointes, a life-threatening arrhythmia
Question 5 of 5
The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?
Correct Answer: A
Rationale: Dried beans are high in purines, which can increase uric acid levels and exacerbate gout symptoms.