NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
During a pre-op assessment, the nurse would chart which finding(s) as subjective data? Select all that apply.
Correct Answer: B,C,E
Rationale: Subjective data are client-reported, including statements about surgery concerns, weight loss, and pain ratings. Sweating/wringing hands and blood pressure are objective (observable/measurable).
Question 2 of 5
The nurse is auscultating a client's breath sounds. Low-pitched grating and rubbing are noted on inhalation and exhalation. What will the nurse chart under assessment findings?
Correct Answer: C
Rationale: Low-pitched grating/rubbing sounds indicate a pleural friction rub, often due to pleural inflammation.
Question 3 of 5
The nurse is preparing a client with type 2 diabetes for a CT with contrast to evaluate diverticulitis with a possible mass. Which of the following medications on the client's medication list would be of concern to the nurse?
Correct Answer: D
Rationale: Metformin should be held before and after contrast CT due to the risk of lactic acidosis if renal function is impaired by contrast dye.
Question 4 of 5
The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:
Correct Answer: B
Rationale: Mental confusion in diabetes insipidus may indicate severe dehydration or electrolyte imbalance, so checking vital signs is the priority to assess stability.
Question 5 of 5
Which of the following statements best explains the rationale for placing the client in Trendelenburg position during the insertion of a central line catheter?
Correct Answer: A
Rationale: The Trendelenburg position increases venous filling in the upper body, making the subclavian or jugular veins easier to access for catheter insertion.