NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with Parkinson's disease is scheduled for stereotactic surgery. Which finding indicates that the surgery had its intended effect?
Correct Answer: A
Rationale: Stereotactic surgery, such as deep brain stimulation, aims to reduce motor symptoms like intractable tremors in Parkinson's disease. It does not directly affect dopamine or serotonin production, and medication is often still required post-surgery.
Question 2 of 5
The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
Correct Answer: C
Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.
Question 3 of 5
A nurse is administering a blood transfusion to a client on the oncology unit. Which clinical manifestation indicates an acute hemolytic reaction to the blood?
Correct Answer: A
Rationale: Low back pain is a hallmark of acute hemolytic transfusion reaction due to hemolysis and kidney involvement. Fever, urticaria, or neck vein distention suggest other complications.
Question 4 of 5
The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.
Question 5 of 5
The client who is 2 weeks post-burn with a 40% deep partial-thickness injury still has open wounds. The nurse's assessment reveals the following findings: temperature 96.5°F, BP 87/40, and severe diarrhea stools. What problem does the nurse most likely suspect?
Correct Answer: C
Rationale: Hypothermia, hypotension, and diarrhea suggest systemic gram-negative infection, likely sepsis, due to bacterial translocation from open wounds or the gut in a burn patient.