NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The client will be more comfortable and the results more accurate when the nurse prepares the client for Leopold's maneuvers by having her:
Correct Answer: A
Rationale: A full bladder would cause discomfort and possible urinary incontinence during the exam. The left side-lying position would not accommodate the exam. The head of the exam table or bed can be slightly elevated to prevent supine hypotension. Arms extended over the head would cause the abdomen to be tighter and less easily palpable. Forcing fluids would encourage a full bladder, which is not desired for the exam.
Question 2 of 5
A client with a history of chronic kidney disease is admitted with complaints of shortness of breath. The nurse should give priority to:
Correct Answer: A
Rationale: Shortness of breath in chronic kidney disease may indicate fluid overload, so administering diuretics is the priority.
Question 3 of 5
In working with a manipulative client, which of the following nursing interventions would be most appropriate?
Correct Answer: C
Rationale: This answer is incorrect. Bargaining is a manipulative act, which the nurse could expect from the client. This answer is incorrect. Confrontation is an effective nursing strategy with manipulative behavior. Redirection is appropriate for the client who is out of touch with reality. This answer is correct. Manipulative clients must abide by consistent rules. This answer is incorrect. Manipulation is kept at a minimum if the same staff person is assigned to the client. Often the client will attempt to play staff persons against each other.
Question 4 of 5
The registered nurse is assigning staff for four clients on the 3-11 shift. Which client should be assigned to the LPN?
Correct Answer: C
Rationale: A pneumonia client expecting discharge is stable and suitable for an LPN’s scope (e.g., monitoring, discharge prep). ARDS (
A), recent surgery (
B), and bleeding varices (
D) require RN-level care.
Question 5 of 5
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
Correct Answer: D
Rationale: Quinidine, an antiarrhythmic, can prolong the QT interval, increasing the risk of torsades de pointes. Monitoring the ECG for QT prolongation is critical. The other ECG changes are not specific to quinidine.