NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?
Correct Answer: A
Rationale: CVP readings outside 3-8 cm of water may indicate fluid imbalance or catheter issues, requiring physician notification to prevent complications.
Question 2 of 5
The nurse is assessing a client upon arrival to the emergency department. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?
Correct Answer: C
Rationale: Cyanotic ear lobes indicate severe hypoxemia, a late sign of airway obstruction. Restlessness and stridor are earlier, and rales are unrelated.
Question 3 of 5
The nurse is creating a discharge plan for a client with cholecystitis. The nurse should encourage the client to follow
Correct Answer: B
Rationale: A low-fat diet reduces gallbladder stimulation and prevents cholecystitis flare-ups. Potassium, B12, and phosphorus are not directly related to cholecystitis management.
Question 4 of 5
The nurse is assessing a client with suspected Addison’s disease. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: hyperpigmentation of the skin is a classic sign of Addison’s disease due to increased ACTH production
Question 5 of 5
A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?
Correct Answer: A
Rationale: Third-degree AV block with hypotension (BP 78/40) requires atropine to increase heart rate by blocking vagal activity, improving cardiac output.