NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best?
Correct Answer: C
Rationale: This response encourages the client to express her concerns, allowing the nurse to address specific fears and provide tailored support.
Question 2 of 5
The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:
Correct Answer: C
Rationale: Regular insulin has an onset of 30-60 minutes when given subcutaneously.
Question 3 of 5
A 19-year-old male was prescribed sertraline (Zoloft) 3 weeks ago for depression. He calls the clinic today and tells the nurse that he has been feeling increasingly anxious and wants to stop taking the medication because it is not working. The best response for the nurse is
Correct Answer: B
Rationale: Increased anxiety is a common early side effect of SSRIs like sertraline, which typically subsides after a few weeks. The therapeutic effect takes 4-6 weeks. Continuing the medication and monitoring is appropriate.
Question 4 of 5
The nurse is caring for a client admitted with congestive heart failure. Which finding would the nurse expect if the failure was on the right side of the heart?
Correct Answer: A
Rationale: Right-sided heart failure causes systemic venous congestion, leading to jugular vein distention, a hallmark sign of impaired right heart function.
Question 5 of 5
Which of the following is NOT a component of evidence-based practice?
Correct Answer: B
Rationale: Evidence-based practice integrates research outcomes, patient values, and clinical expertise. Culturally competent care is important but not a core component of EBP.