NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
A client receiving a blood transfusion begins to have chills and headache within the first 15 minutes of the transfusion. The nurse should first:
Correct Answer: C
Rationale: Chills and headache suggest a transfusion reaction, requiring immediate discontinuation of the transfusion to prevent further complications.
Question 2 of 5
As the nurse in an ambulatory care area, you see a new client enter with a cane that appears too short for the client. What should you do?
Correct Answer: C
Rationale: Educating the client about the proper cane length (typically where the handle reaches the wrist when the arm is at the side) promotes safety and proper use without unnecessarily restricting mobility.
Question 3 of 5
The nurse is teaching a client with a new tracheostomy about home care. Which of the following instructions should be included? Select all that apply.
Correct Answer: A, B, D, E
Rationale: Daily cleaning, suctioning, keeping a spare tube, and using a humidifier are essential for tracheostomy care. Tube changes are typically done by professionals.
Question 4 of 5
A client with a history of heart failure is prescribed metoprolol (Lopressor). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, requiring heart rate monitoring.
Question 5 of 5
After going through the necessary procedures for collecting physical evidence after a rape, a client is crying and talking about what happened to her. The nurse should:
Correct Answer: D
Rationale: Listening to the client's descriptions provides emotional support and validates her experience, which is therapeutic post-trauma. Other responses may minimize or blame the client.