NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
Damage to the VII cranial nerve results in:
Correct Answer: C
Rationale: The VII cranial nerve (facial nerve) controls facial muscles; damage causes facial paralysis, affecting eye movement (e.g., inability to close the eye).
Question 2 of 5
The nurse is assessing a client with an altered level of consciousness. One of the first signs of altered level of consciousness is:
Correct Answer: C
Rationale: Restlessness is often an early sign of altered consciousness, indicating neurological changes before more severe symptoms appear.
Question 3 of 5
The nurse is assessing the arterial blood gases (ABG) of a chest trauma client with the results of pH 7.35, PO2 85, PCO2 55, and HCO3 27. These ABG values indicate that the client is in:
Correct Answer: C
Rationale: pH 7.35 is normal, PCO2 55 is elevated (indicating respiratory acidosis), and HCO3 27 is slightly elevated, suggesting compensation. This is compensated respiratory acidosis, likely due to hypoventilation from chest trauma.
Question 4 of 5
A client admitted with transient ischemia attacks has returned from a cerebral arteriogram. The nurse performs an assessment and finds a newly formed hematoma in the right groin area. What is the nurse's initial action?
Correct Answer: A
Rationale: Applying direct pressure to a hematoma at the arteriogram site controls bleeding and prevents further complications, making it the initial action.
Question 5 of 5
The nurse is giving an end-of-shift report when a client with a chest tube is noted in the hallway with the tube disconnected. What is the most appropriate action?
Correct Answer: B
Rationale: A disconnected chest tube risks air entering the pleural space, causing pneumothorax. Placing the end in sterile saline creates a water seal, preventing air entry until reconnection.