NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The client pulls out the chest tube and fails to report the occurrence to the nurse. When the nurse discovers the incidence, he should take which initial action?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air entry into the pleural space, stabilizing the client until further intervention.
Question 2 of 5
The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:
Correct Answer: B
Rationale: Skin irritation is a common side effect of TENS; reporting it ensures timely management.
Question 3 of 5
A client is to be discharged on warfarin (Coumadin®) therapy, and the nurse is teaching the client about the medication. Which of the following statements by the client indicates that the client's education has been effective? Select all that apply.
Correct Answer: A,C,D
Rationale: Soft toothbrush (
A), swimming (
C), and Medical Alert bracelet (
D) reduce bleeding risk and ensure safety. Black stools (
B) indicate bleeding, and avoiding all leafy greens (E) is excessive.
Question 4 of 5
A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?
Correct Answer: B
Rationale: Ampicillin, an antibiotic, is not indicated for chest pain, which is typically cardiac-related and treated with nitroglycerin, propranolol, or verapamil.
Question 5 of 5
A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?
Correct Answer: A
Rationale: Third-degree AV block with hypotension (BP 78/40) requires atropine to increase heart rate by blocking vagal activity, improving cardiac output.