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
With a geriatric client, the nurse should also assess whether he has been obtaining a yearly vaccination against influenza. Why is this assessment important?
Correct Answer: C
Rationale: Older clients have less effective immune systems, increasing their risk for influenza complications, making yearly vaccination critical.
Question 3 of 5
A client with a history of heart failure is admitted with complaints of edema. The nurse should give priority to:
Correct Answer: A
Rationale: Diuretics reduce edema in heart failure, improving fluid balance and symptoms.
Question 4 of 5
Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?
Correct Answer: C
Rationale: Cheyne-Stokes respiratory pattern is most often associated with increased intracranial pressure secondary to changes in pressure in the cerebral and cerebellar areas.
Question 5 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.