NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 88%. The nurse's first intervention is to
Correct Answer: B
Rationale: Hypoxemia (SpO2 88%) requires immediate oxygen administration to improve oxygenation, which is the priority for chest pain before further assessment or intervention.
Question 2 of 5
The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?
Correct Answer: C
Rationale: Using a cell phone on the opposite side of the defibrillator reduces electromagnetic interference with the device.
Question 3 of 5
A nurse receives an order to dilute ceftriaxone sodium powder in a vial prior to administration. The nurse should ensure the powder is fully diluted by
Correct Answer: B
Rationale: Rolling the vial between the palms gently mixes the powder with the diluent, ensuring full dilution without creating air bubbles or denaturing the medication.
Question 4 of 5
In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:
Correct Answer: D
Rationale: Pitocin is effective if it promotes progressive cervical dilation, correcting secondary dystocia.
Question 5 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: unexpected until 6 months of age