NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of chronic migraines is admitted with complaints of nausea. The nurse should give priority to:
Correct Answer: A
Rationale: Antiemetics relieve nausea in migraines, improving comfort and preventing dehydration.
Question 2 of 5
A client with a history of chronic migraines is admitted with complaints of nausea. The nurse should give priority to:
Correct Answer: A
Rationale: Antiemetics relieve nausea in migraines, improving comfort and preventing dehydration.
Question 3 of 5
A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?
Correct Answer: D
Rationale: Digoxin's therapeutic level is 0.8-2.0 ng/mL. Digoxin's toxic level is >2.0 ng/mL.
Question 4 of 5
The client is admitted with a diagnosis of abruptio placenta. Which vital sign change is most likely to be observed?
Correct Answer: D
Rationale: Abruptio placenta causes maternal tachycardia and hypotension (from bleeding) and fetal bradycardia (from hypoxia). All vital sign changes are likely in this condition.
Question 5 of 5
The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:
Correct Answer: C
Rationale: An O2 saturation of 68% indicates severe hypoxemia requiring immediate oxygen administration (e.g. via mask) to restore oxygenation. Elevating the head rechecking later or assessing heart rate are secondary to correcting hypoxia.