NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?
Correct Answer: C
Rationale: The ABCs of trauma care prioritize airway establishment, followed by controlling hemorrhage and preventing shock, then assessing head injuries to ensure oxygenation and perfusion.
Question 2 of 5
Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of menses for 3 months. Her vital signs are BP 90/50, P 96 bpm, respirations 30, and temperature 97 F. She admits to the nurse that she has induced vomiting 3 times this morning, but she had to continue exercising to lose 'just 5 more lb.' Her symptoms are consistent with:
Correct Answer: D
Rationale: All symptoms and vital signs are consistent with anorexia nervosa.
Question 3 of 5
Which of the following combinations of foods is appropriate for an eight-month-old infant?
Correct Answer: C
Rationale: Rice cereal, bananas, and strained carrots are developmentally appropriate, easily digestible foods for an eight-month-old, unlike the other options, which include choking hazards or inappropriate items like whole milk.
Question 4 of 5
A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:
Correct Answer: D
Rationale: When diabetic ketoacidosis exists, intracellular dehydration occurs and potassium leaves the cells and enters the vascular system, thus increasing the serum level beyond an acceptable range. When insulin and fluids are administered, cell walls are repaired and potassium is transported back into the cells. Normal serum potassium levels range from 3.5-5.0 mEq/L.
Question 5 of 5
The nurse is caring for a client with a history of a spinal fusion. The client complains of back pain. The nurse should:
Correct Answer: D
Rationale: Back pain post-spinal fusion may indicate complications like hardware failure or infection, requiring immediate physician notification. Compresses, rest, and acetaminophen are insufficient.