NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse finds a client crying after she was told hemodialysis is needed due to the development of acute renal failure. Which intervention is best?
Correct Answer: B
Rationale: Quietly sitting with the client provides emotional support and presence, allowing her to process the diagnosis without imposing solutions.
Question 2 of 5
Which set of vital signs would best indicate an increase in intracranial pressure?
Correct Answer: A
Rationale: Increased intracranial pressure (ICP) is indicated by Cushing's triad: widened pulse pressure (e.g., BP 180/70), bradycardia (pulse 50), and irregular respirations. Temperature elevation may occur but is less specific.
Question 3 of 5
A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:
Correct Answer: B
Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.
Question 4 of 5
Which action by the novice nurse indicates a need for further teaching?
Correct Answer: A
Rationale: Failing to wear gloves violates infection control standards.
Question 5 of 5
During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?
Correct Answer: D
Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.