NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A triage nurse is reviewing messages from four clients. The nurse's priority is which client?
Correct Answer: B
Rationale: Jaw and back pain intensifying rapidly in a 42-year-old female suggests a possible myocardial infarction, a life-threatening emergency requiring immediate attention.
Question 2 of 5
The nurse is caring for a client with amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease). The nurse should give priority to:
Correct Answer: A
Rationale: Respiratory muscle weakness in ALS can lead to respiratory failure, making respiratory status assessment the priority.
Question 3 of 5
A client arrives from surgery following an abdominal perineal resection with a permanent ileostomy. What should be the priority nursing care during the post-op period?
Correct Answer: D
Rationale: Facilitating perineal wound drainage is the priority to prevent infection and promote healing in the immediate postoperative period, as the perineal wound is at high risk for complications.
Question 4 of 5
The nurse expects a child with a deficiency in factor VIII to be diagnosed with
Correct Answer: A
Rationale: Factor VIII deficiency causes hemophilia A, a bleeding disorder due to impaired clotting.
Question 5 of 5
The client is taking rifampin 600 mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?
Correct Answer: B
Rationale: Rifampin causes orange-red discoloration of urine, a normal side effect the nurse should explain.