NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with hyperkalemia is admitted to the telemetry unit. Which of the following would require notification of the health care provider? Select all that apply.
Correct Answer: A, B
Rationale: Spiked T waves and bradycardia (heart rate 53) are signs of severe hyperkalemia, requiring immediate provider notification. Normal heart rate, food refusal, and adequate urinary output (30 cc/hr) are not urgent.
Question 2 of 5
A nurse graduated from nursing school 3 years ago. He worked at one hospital on the telemetry unit for 6 months. He then transferred to the cardiac care unit (CCU) at a teaching hospital, and has been working there for 2.5 years. According to the novice-expert model of nursing, he is considered
Correct Answer: C
Rationale: Per Benner’s model, a nurse with 2-3 years of focused experience (2.5 years in CCU) is competent, demonstrating efficiency and coordinated care.
Question 3 of 5
A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:
Correct Answer: B
Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.
Question 4 of 5
The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?
Correct Answer: D
Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.
Question 5 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct Answer: D
Rationale: should assess client to determine amount and cause of bleeding