NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client diagnosed with Alzheimer's disease initiates the same conversation repeatedly, becomes aggressive when stressed, needs reminders to perform ADLs, and is easily lost in his neighborhood. This client is likely in what stage of Alzheimer's disease?
Correct Answer: C
Rationale: Moderate Alzheimer's involves repetitive behaviors, aggression, ADL dependence, and disorientation, as described, indicating significant cognitive decline.
Question 2 of 5
The nurse is auscultating the apical pulse over the PMI (point of maximum impact). Which heart sounds would be audible?
Correct Answer: D
Rationale: S1 (mitral/tricuspid closure) and S2 (aortic/pulmonic closure) are normally audible at the PMI. S3 and S4 are less common and indicate pathology.
Question 3 of 5
The nurse is working with a client who experiences orthostatic hypotension. Which suggestion would benefit the client?
Correct Answer: E
Rationale: None of the options directly address orthostatic hypotension effectively. Support stockings during the day (not sleep), slow position changes, and adequate hydration are better strategies.
Question 4 of 5
When administering a tuberculin skin test, the nurse should insert the needle at a:
Correct Answer: A
Rationale: A 15° angle is used for intradermal injections like the tuberculin skin test to ensure proper placement in the dermis.
Question 5 of 5
A client with an esophageal tamponade develops symptoms of respiratory distress, including inspiratory stridor. The nurse should give priority to:
Correct Answer: B
Rationale: Respiratory distress with stridor suggests airway obstruction from the tamponade, requiring immediate tube removal after deflation to restore airway patency.