NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse finds that a client receiving digoxin (Lanoxin) 0.25 mg orally has an apical pulse of 54. Which of the following should the nurse do first?
Correct Answer: A
Rationale: An apical pulse of 54 is below the safe threshold (typically 60) for digoxin, indicating potential toxicity. Withholding the dose and notifying the provider is the priority.
Question 2 of 5
Which of the following are common neurological changes associated with aging? Select all that apply.
Correct Answer: B,D
Rationale: Aging commonly increases sensory input threshold (
B), making stimuli harder to perceive, and impairs short-term memory (
D). Dementia (
A) is not universal, perspiration reduction (
C) is not neurological, and muscle atrophy (E) is musculoskeletal.
Question 3 of 5
The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?
Correct Answer: B
Rationale: Washing bed linens in hot water helps eliminate lice and nits, which is a key part of treatment for pediculosis capitis.
Question 4 of 5
In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?
Correct Answer: C
Rationale: Fluid volume deficit is a priority in ulcerative colitis due to frequent diarrhea, which can lead to dehydration.
Question 5 of 5
An elderly preoperative client seems very anxious but denies concerns when the nurse asks; however, the client's son confides that the client is very superstitious and believes it is bad luck that he is in room 113. Which of the following actions is the best response?
Correct Answer: B
Rationale: Reassigning the client to a different room (
B) addresses the client's anxiety by respecting his superstitious beliefs, promoting comfort. Reassurance (
A), medication (
C), or family presence (
D) may not fully alleviate the specific concern.