NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 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 2 of 5
Which one of the following clients is most likely to develop acute respiratory distress syndrome?
Correct Answer: D
Rationale: Barbiturate overdose can lead to ARDS due to prolonged hypoventilation, causing lung injury from hypoxia and aspiration risk.
Question 3 of 5
A nurse is preparing to administer a MMR vaccine to a 35-year-old male. The nurse should
Correct Answer: D
Rationale: MMR is an intramuscular vaccine, requiring a 90-degree angle injection (typically deltoid). Dorsogluteal is not preferred, and pinching is for subcutaneous injections.
Question 4 of 5
On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?
Correct Answer: C
Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.
Question 5 of 5
In the team nursing model of client care,
Correct Answer: B
Rationale: Team nursing involves an RN leading a team (LPN, UAP) to collaboratively care for a group of clients, with tasks delegated based on scope of practice.