NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The client is admitted with a suspected subarachnoid hemorrhage. Which assessment finding is most concerning?
Correct Answer: A
Rationale: A blood pressure of 180/100 mmHg is concerning in subarachnoid hemorrhage, as hypertension can increase the risk of rebleeding or exacerbate intracranial pressure. Normal heart rate, clear CSF, and reactive pupils are less urgent.
Question 2 of 5
A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?
Correct Answer: C
Rationale: The ABCs of trauma care prioritize airway establishment, followed by controlling hemorrhage and preventing shock, then assessing head injuries to ensure oxygenation and perfusion.
Question 3 of 5
The nurse is caring for a client with a history of ectopic pregnancy. Which risk factor is most likely to be present?
Correct Answer: A
Rationale: Pelvic inflammatory disease (PI
D) is a major risk factor for ectopic pregnancy as it can scar the fallopian tubes impairing embryo transport. Gestational diabetes hypertension and multiple gestations are not strongly associated.
Question 4 of 5
The client is admitted with a diagnosis of pericarditis. Which assessment finding is most characteristic?
Correct Answer: A
Rationale: Pericarditis causes chest pain that is typically relieved by sitting forward, reducing pressure on the inflamed pericardium. Bradycardia, edema, and muffled sounds are less specific or indicate complications like tamponade.
Question 5 of 5
The nurse is caring for a client with a history of diverticulitis. Which meal selection is best suited for the client?
Correct Answer: A
Rationale: Diverticulitis requires a low-fiber diet during acute phases. Broiled fish, steamed carrots, and gelatin are low-fiber and suitable. The other options contain high-fiber or irritating foods.