NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. The nurse would determine that these clinical manifestations are indicative of:
Correct Answer: B
Rationale: Shortness of breath, pleuritic pain, and hemoptysis are classic signs of pulmonary embolus, a complication of immobility from a fracture. The other conditions have different presentations.
Question 2 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with heart failure. Prior to administration, the nurse checks the client’s apical pulse and finds it to be 52 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: digoxin is withheld if the apical pulse is below 60 beats per minute in adults, as it can exacerbate bradycardia
Question 3 of 5
A woman with hypothyroidism has been taking levothyroxine (Synthroid) for 5 years. She has just been prescribed warfarin (Coumadin). The nurse immediately calls the health care provider to review these orders and anticipates the physician will
Correct Answer: A
Rationale: Levothyroxine increases warfarin’s anticoagulant effect, raising bleeding risk. The physician will likely order lab work (e.g., INR) to monitor and adjust warfarin dosing.
Question 4 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which of the following findings would the nurse expect?
Correct Answer: D
Rationale: decreased oxygen saturation is a common finding in pulmonary embolism due to impaired gas exchange
Question 5 of 5
During the second stage of labor, the baby's head becomes compressed because the mother has a narrow, bony pelvis. Which of the following is the most common result for the infant from this type of compression?
Correct Answer: C
Rationale: Cranial molding (
C) is the most common result of head compression during labor due to a narrow pelvis, as the infant's skull adapts to the birth canal. Cerebral palsy (
A), intellectual disability (
B), and epilepsy (
D) are not directly caused by this.