NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
A nurse assessing a client charts his blood pressure as 134/86. The pulse pressure would be
Correct Answer: A
Rationale: Pulse pressure is calculated as systolic BP minus diastolic BP: 134 - 86 = 48 mmHg.
Question 2 of 5
The nurse is the first person to arrive at the scene of a motor vehicle accident. When rendering aid to the victim, the nurse should give priority to:
Correct Answer: A
Rationale: Establishing a patent airway is the top priority in trauma care to ensure oxygenation and prevent hypoxia.
Question 3 of 5
The nurse receives an order for blood cultures and sensitivity for a client. Which statement is correct concerning this test?
Correct Answer: B
Rationale: Blood culture results typically take 48–72 hours for organism identification. Stopping antibiotics or culturing catheter tips is not standard practice.
Question 4 of 5
The nurse recognizes which of the following as the priority nursing diagnosis for the client in thyroid crisis?
Correct Answer: B
Rationale: Thyroid crisis (thyroid storm) causes hyperthermia, making imbalanced body temperature the priority due to the risk of life-threatening hypermetabolic complications.
Question 5 of 5
The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor?
Correct Answer: C
Rationale: Weak and rapid pedal pulses suggest compromised circulation, which requires immediate reporting to prevent complications like compartment syndrome.