NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A nurse who is a friend on a social media site with a coworker finds that the coworker has written on the media site confidential information about a well-known client's health history (information obtained from the client's her). What is the most appropriate response?
Correct Answer: D
Rationale: Reporting to a supervisor (
D) ensures proper handling of a HIPAA violation. Directly confronting the coworker (
A) may not ensure compliance, notifying the client (
B) is premature, and doing nothing (
C) ignores the breach.
Question 2 of 5
The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?
Correct Answer: C
Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.
Question 3 of 5
A client with chronic kidney disease has just been admitted to the floor. The admitting nurse reviews a list of OTC medications the client takes at home and is concerned when he sees
Correct Answer: A
Rationale: Mylanta contains magnesium and aluminum, which can accumulate in kidney disease, causing toxicity. Other medications are less concerning in this context.
Question 4 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 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).