NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment? Select all that apply.
Correct Answer: A,D,E
Rationale: A ventilator alarm, unresponsiveness, and tingling (possible anaphylaxis) indicate life-threatening conditions requiring immediate attention. Other clients are stable or less urgent.
Question 2 of 5
The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?
Correct Answer: D
Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.
Question 3 of 5
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:
Correct Answer: C
Rationale: Normal pH with elevated CO2 and bicarbonate indicates compensated respiratory acidosis, typical in COPD.
Question 4 of 5
The nurse is teaching a group of parents about safety measures to prevent accidental poisoning in children. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: childproof containers are essential to prevent accidental ingestion of medications
Question 5 of 5
A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:
Correct Answer: B
Rationale: Abrupt cessation of barbiturates can cause withdrawal symptoms like tachycardia and diarrhea due to central nervous system hyperactivity.