NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
Select the hazard of immobility that is accurately paired with an appropriate expected outcome of care that the nurse provides to prevent this complication.
Correct Answer: C
Rationale: Range of motion exercises help prevent muscle atrophy by maintaining muscle strength and function in immobile clients.
Question 2 of 5
The nurse is assessing a client who has had a myocardial infarction. The nurse notes the cardiac rhythm shown below (see figure). The nurse identifies this rhythm as:
Correct Answer: C
Rationale: Premature ventricular contractions (PVCs) are characterized by early, wide QRS complexes on an ECG, common post-myocardial infarction. The other rhythms have distinct ECG patterns not described here.
Question 3 of 5
Which of the following data points about your client's hemodynamic values would you report to the doctor as abnormal?
Correct Answer: B
Rationale: Normal ranges are: PAS 15-30 mmHg, PAWP 4-12 mmHg, PAD 4-12 mmHg, CVP 2-6 mmHg. PAWP of 22 mmHg is elevated, indicating potential left ventricular dysfunction or fluid overload.
Question 4 of 5
Which of the following should be a priority nursing diagnosis for a client who has had a total laryngectomy?
Correct Answer: D
Rationale: Impaired verbal communication is the priority after a total laryngectomy due to the loss of vocal cords, affecting communication ability.
Question 5 of 5
A client is suspected of having a slow gastrointestinal bleed. The nurse should evaluate the client for which sign or symptom?
Correct Answer: C
Rationale: Tarry stools are a hallmark sign of a slow gastrointestinal bleed due to digested blood.