NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:
Correct Answer: A
Rationale: A nosebleed may indicate worsening hypertension in preeclampsia, a critical symptom requiring immediate reporting.
Question 2 of 5
The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:
Correct Answer: A
Rationale: A ventricular septal defect causes increased pulmonary blood flow, leading to easy tiring due to cardiac workload.
Question 3 of 5
The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?
Correct Answer: C
Rationale: in this level of anxiety, client is unable to process thoughts and feelings for problem solving
Question 4 of 5
A nurse assessing a client charts his blood pressure as 134/86. The pulse pressure would be
Correct Answer: A
Rationale: Pulse pressure is calculated as systolic BP minus diastolic BP: 134 - 86 = 48 mmHg.
Question 5 of 5
The nurse is caring for a client who is disoriented. To avoid using restraints, the nurse chooses alternative methods to help keep the client oriented. Which interventions would the nurse use for this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale:
Toileting routines, medication review, familiar items, and calendars/clocks promote orientation. Minimizing visitation may isolate the client, and room placement is less relevant.