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 is preparing to lift a client up in bed. Which of the following should the nurse do to help avoid injuring his back?
Correct Answer: C
Rationale: Tightening stomach and leg muscles stabilizes the core, reducing back strain during lifting.
Question 3 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 4 of 5
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct Answer: B
Rationale: Sternal bruises suggest potential chest trauma, requiring priority.
Question 5 of 5
A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is responsible for the client's symptoms?
Correct Answer: D
Rationale: Whole-grain cereal, high in fiber, can irritate diverticula, causing inflammation and symptoms like pain, fever, and diarrhea.