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
In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect:
Correct Answer: D
Rationale: Pitocin is effective if it promotes progressive cervical dilation, correcting secondary dystocia.
Question 3 of 5
The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?
Correct Answer: C
Rationale: Using a cell phone on the opposite side of the defibrillator reduces electromagnetic interference with the device.
Question 4 of 5
A client with multiple sclerosis tires easily, so the nurse is instructing the client in energy-conservation techniques. Which of the following techniques may help the client conserve energy? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Energy conservation for multiple sclerosis includes sitting for tasks (
A), resting regularly (
C), planning movements (
D), and monitoring fatigue (E). Items on the floor or high shelves (
B) increase effort, and pulling vs. pushing (F) is not standard.
Question 5 of 5
The nurse is caring for a client after a laryngectomy. The client is anxious, with a respiratory rate of 32 and an oxygen saturation of 88. The nurse's first action should be to:
Correct Answer: B
Rationale: Low oxygen saturation (88%) and high respiratory rate indicate hypoxemia. Increasing oxygen flow rate is the fastest way to improve oxygenation. Suctioning may be needed later, but oxygen is the priority.