NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
An important intervention in monitoring the dietary compliance of a client with bulimia is:
Correct Answer: C
Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.
Question 2 of 5
The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.
Question 3 of 5
The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.
Correct Answer: A,C
Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.
Question 4 of 5
A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 88%. The nurse's first intervention is to
Correct Answer: B
Rationale: Hypoxemia (SpO2 88%) requires immediate oxygen administration to improve oxygenation, which is the priority for chest pain before further assessment or intervention.
Question 5 of 5
Where is the best site for examining for the presence of petechiae in an African American client?
Correct Answer: C
Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.