NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
A client's blood pressure is 132/84. What is the mean arterial pressure?
Correct Answer: C
Rationale: Mean arterial pressure (MAP) = [systolic + (2 × diastolic)] ÷ 3. Calculation: [132 + (2 × 84)] ÷ 3 = [132 + 168] ÷ 3 = 300 ÷ 3 = 100 mmHg.
Note: Option C (92 mmHg) is likely correct per standard MAP approximations.
Question 2 of 5
The nurse is assisting in the care of a patient who is 2 days post-operative from a hemorrhoidectomy. The nurse would be correct in instructing the patient to:
Correct Answer: D
Rationale: A sitz bath promotes healing and relieves pain after a hemorrhoidectomy by keeping the area clean and reducing inflammation.
Question 3 of 5
A 68-year-old client states he decided not to take the herpes zoster (shingles) immunization because his friend had the immunization and still developed shingles. Which of the following information should the nurse include when discussing this issue with the client? Select all that apply.
Correct Answer: B,C,D
Rationale: The shingles vaccine reduces severity (
B), postherpetic syndrome risk (
C), and shingles incidence by about 50% (
D). It doesn't eliminate risk (
A), and dismissing friends' advice (E) is inappropriate.
Question 4 of 5
The nurse should carefully monitor the client for which common dysrhythmia that can occur during suctioning?
Correct Answer: A
Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation, especially in clients with tracheostomies or endotracheal tubes.
Question 5 of 5
The nurse administers 6 units of Humalog (lispro) insulin sub-q to a client at 8:30 a.m. The nurse knows to reassess the client and check for a possible hypoglycemic reaction at
Correct Answer: B
Rationale: Humalog (lispro) is rapid-acting insulin with a peak effect at 1-2 hours. Checking at 9:30 a.m. (1 hour post-administration) aligns with the onset of action to monitor for hypoglycemia.