NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client has had a recent below-knee (BK) amputation of the right leg because of a traumatic injury. After removing the elastic wrap, which the client had applied, the nurse notes an unusual pattern of swelling. Which of the following is the most likely reason for this observation?
Correct Answer: C
Rationale: An unusual swelling pattern after removing an elastic wrap suggests incorrect wrap technique (
C), which can cause uneven pressure. Infection (
A), impaired circulation (
B), or bleeding (
D) would present differently.
Question 2 of 5
The nurse is reviewing medications with a client who is to be scheduled for outpatient rotator cuff repair. Which of the following medications does the nurse anticipate the client will be advised to avoid on the morning of the surgery?
Correct Answer: C
Rationale: Aspirin (
C) is typically avoided before surgery due to its antiplatelet effects, which increase bleeding risk. Metoprolol (
A), Synthroid (
B), and Prozac (
D) are generally continued unless otherwise directed.
Question 3 of 5
The nurse is caring for a client who was admitted to the burn unit 4 hours after the injury with second-degree burns to the trunk and head. Which finding would the nurse least expect to find during this time period?
Correct Answer: C
Rationale: Hypernatremia is least expected within 4 hours of a burn injury, as fluid shifts typically cause hyponatremia due to third-spacing. Hypovolemia, laryngeal edema, and hyperkalemia are common early findings.
Question 4 of 5
The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:
Correct Answer: C
Rationale: Regular insulin has an onset of 30-60 minutes when given subcutaneously.
Question 5 of 5
A client is admitted to the emergency room with a gunshot wound to the right arm. After dressing the wound and administering the prescribed antibiotic, the nurse should:
Correct Answer: C
Rationale: Immobilizing the arm with a splint prevents further tissue damage and promotes healing, which is a priority after initial wound care and antibiotic administration. Checking for allergies should have been done prior to administering antibiotics, and pain management, while important, is secondary to stabilization.