NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?
Correct Answer: B
Rationale: Pancreatitis can cause nausea and vomiting, and a Levine tube (nasogastric tube) is often used to decompress the stomach and prevent aspiration, which is a priority in the ICU setting.
Question 2 of 5
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
Correct Answer: D
Rationale: Rapid onset of chest pain, dyspnea, cyanosis, and restlessness after IV push suggests pulmonary embolism, likely from air or thrombus introduced during administration.
Question 3 of 5
The nurse is caring for a client with a history of bipolar disorder who is admitted during a manic episode. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: a quiet, low-stimulation environment helps reduce agitation and promote safety during a manic episode
Question 4 of 5
The nurse is monitoring a client following postoperative cardiac catheterization and is checking the client's oxygen saturation (SPO2) per pulse oximetry. The nurse recognizes that the SPO2 should be maintained above what percentage in most clients to ensure adequate oxygenation? Record your answer using a whole number.
Correct Answer: 92
Rationale: SPO2 should be maintained above 92% in most clients to ensure adequate oxygenation, especially post-procedure.
Question 5 of 5
Cardiac muscles follow a certain order of electrical conduction in order for the heart to contract. What is the correct sequence of electrical impulse?
Order the Items
Source Container
Correct Answer: D,B,A,C,E
Rationale: Cardiac conduction: sinoatrial node (
D), atrioventricular node (
B), bundle of His (
A), bundle branches (
C), Purkinje fibers (E).