NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client in cardiac arrest shows to be in torsades de pointes, and magnesium sulfate is ordered STAT. The priority nursing intervention is
Correct Answer: A
Rationale: Magnesium sulfate for torsades de pointes can cause bradycardia and respiratory depression, requiring close monitoring.
Question 2 of 5
An elderly preoperative client seems very anxious but denies concerns when the nurse asks; however, the client's son confides that the client is very superstitious and believes it is bad luck that he is in room 113. Which of the following actions is the best response?
Correct Answer: B
Rationale: Reassigning the client to a different room (
B) addresses the client's anxiety by respecting his superstitious beliefs, promoting comfort. Reassurance (
A), medication (
C), or family presence (
D) may not fully alleviate the specific concern.
Question 3 of 5
The registered nurse is making assignments for the day. Which client should not be assigned to the pregnant nurse?
Correct Answer: B
Rationale: A radium implant emits radiation, posing a risk to the fetus, so the pregnant nurse should not care for this client.
Question 4 of 5
The nurse is assessing an older adult. The client does not appear to always understand the questions, sometimes answering incorrectly, and stares at the nurse's mouth rather than the nurse's eyes when the nurse is speaking. The client answers in an unusually loud voice. Which of the following impairments should the nurse suspect?
Correct Answer: A
Rationale: Staring at the mouth, answering loudly, and misunderstanding questions suggest hearing impairment (
A). Cognitive impairment (
B), vision impairment (
C), and anxiety (
D) do not typically present with these specific behaviors.
Question 5 of 5
A client with pregnancy-induced hypertension is scheduled for a C-section. Before surgery, the nurse should keep the client:
Correct Answer: C
Rationale: The left lateral position improves uterine perfusion and reduces pressure on the vena cava in clients with pregnancy-induced hypertension.