NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse has just received the change of shift report. Which client should the nurse assess first?
Correct Answer: A
Rationale: Significant drainage post-lobectomy suggests potential hemorrhage, requiring urgent assessment.
Question 2 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?
Correct Answer: B
Rationale: rebound tenderness at McBurney’s point is a classic sign of appendicitis
Question 3 of 5
The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
Correct Answer: B, D, E
Rationale: Sudden hypertension, restlessness, confusion, jugular vein distension, low back pain, and impending doom indicate possible transfusion reactions (e.g., hemolytic or circulatory overload). Normal respiratory rate and oxygen saturation are not concerning.
Question 4 of 5
A tornado warning has been issued in the area surrounding the hospital. Which action by the nurse is most appropriate to ensure client safety?
Correct Answer: B
Rationale: Moving clients to the hallway, closing blinds, and shutting doors minimizes risks from flying debris and broken windows during a tornado.
Question 5 of 5
A client with a history of depression is treated with Parnate (tranylcypromine), an MAO inhibitor. Ingestion of foods containing tyramine while taking an MAO inhibitor can result in:
Correct Answer: A
Rationale: Tyramine-rich foods can cause a hypertensive crisis in clients on MAO inhibitors due to the inability to metabolize tyramine, leading to norepinephrine release.