NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client was transferred to the hospital unit as a direct admit from a small community hospital. While the nurse is obtaining part of the admission history information, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70, heart rate of 130, and respiratory rate of 24. What is the nurse's initial action?
Correct Answer: B
Rationale: The client's symptoms suggest shock (low BP, high HR, elevated RR). Initiating an IV with a large bore needle allows for rapid fluid resuscitation, which is critical. Lowering the bed may worsen perfusion, notifying the physician delays action, and CPR is premature without pulselessness.
Question 2 of 5
Which of the following descriptions is typical of a Parkinsonian gait?
Correct Answer: C
Rationale: Parkinsonian gait is characterized by decreased speed, poor balance, flexed posture, and shuffling steps (
C). Other descriptions (A, B,
D) do not fully capture this gait.
Question 3 of 5
The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?
Correct Answer: C
Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.
Question 4 of 5
The nurse is caring for a COPD client who is discharged on p.o. Theophylline. Which of the following statements by the client would indicate a correct understanding of discharge instructions?
Correct Answer: C
Rationale: Theophylline can be administered intravenously for acute COPD exacerbations, indicating the client understands potential treatment escalation.
Question 5 of 5
A client with heart failure has been prescribed the DASH diet (dietary approaches to stop hypertension) and must limit sodium intake to 2300 mg per day. Which of the following statements by the client indicates a need for further education?
Correct Answer: A
Rationale: Stopping added salt (
A) is insufficient; the DASH diet requires limiting processed foods and monitoring total sodium. Dairy (
B), vegetables/fruits (
C), and meat limits (
D) are correct.