NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with a stroke and malnutrition has been placed on Total Parenteral Nutrition (TPN). The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: Air embolism requires placing the client in the left lateral decubitus position with the head down to trap air in the right atrium, preventing further embolization. This is the priority action.
Question 2 of 5
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
Correct Answer: D
Rationale: Iridium seeds emit low-level, localized radiation, posing minimal risk to a pregnant nurse.
Question 3 of 5
When applying the leads for a 12-lead electrocardiogram, the nurse places V1 and V2 at the fourth intercostal space to the right and left of the sternum. Which of the remaining leads is placed at the fifth intercostal space on the left midclavicular line?
Correct Answer: B
Rationale: Lead V4 (
B) is placed at the fifth intercostal space on the left midclavicular line in a 12-lead ECG.
Question 4 of 5
The nurse is educating the lady's club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.
Correct Answer: A
Rationale: The Tail of Spence is the upper outer quadrant of the breast, where an X should be placed, as most breast cancers occur in this area.
Question 5 of 5
A 62-year-old female comes to the clinic with the complaint that her vision seems cloudy. What other signs and symptoms may the client mention that are suggestive of cataracts? Select all that apply.
Correct Answer: C,E
Rationale: Cataracts cause cloudy vision, difficulty with night vision, and halos around lights. Diplopia, nausea, or eye pain are not typical.