NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client who served three tours of duty in Afghanistan has been diagnosed with posttraumatic stress disorder (PTSD). Which of the following signs and symptoms does the nurse expect the client to exhibit? Select all that apply.
Correct Answer: A,B,C,E
Rationale: PTSD symptoms include recurring flashbacks (
A), detachment (
B), anger (
C), and nightmares (E). Hyperacute memory (
D) is not typical, and excessive sleeping (F) is less common than insomnia in PTSD.
Question 2 of 5
A nurse is working with an immobile client and doing passive range-of-motion (ROM) exercises on his legs. The client states the exercise is too painful and does not want to continue. The nurse should
Correct Answer: D
Rationale: Pain during ROM exercises may indicate injury. Stopping the exercise prevents harm, with further assessment or pain management to follow.
Question 3 of 5
Cardiac muscles follow a certain order of electrical conduction in order for the heart to contract. What is the correct sequence of electrical impulse?
Order the Items
Source Container
Correct Answer: D,B,A,C,E
Rationale: Cardiac conduction: sinoatrial node (
D), atrioventricular node (
B), bundle of His (
A), bundle branches (
C), Purkinje fibers (E).
Question 4 of 5
The nurse is taking care of a 12-year-old male who sustained 30% full-thickness burns on his chest and arms 20 hours ago. To maintain optimal fluid and electrolyte balance, the nurse expects to administer which of the following?
Correct Answer: A
Rationale: Lactated Ringer's is the standard fluid for burn resuscitation to restore fluid and electrolyte balance, as it closely mimics the body's extracellular fluid.
Question 5 of 5
The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
Correct Answer: B
Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.