NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse identifies ventricular tachycardia on the heart monitor. The nurse should immediately:
Correct Answer: C
Rationale: Ventricular tachycardia requires immediate treatment with an antiarrhythmic like lidocaine to restore normal rhythm.
Question 2 of 5
The nurse is assessing the heart sounds of a client with mitral stenosis following a history of rheumatic fever. To hear a mitral murmur, the nurse should place the stethoscope at:
Correct Answer: D
Rationale: Mitral stenosis murmurs are best heard at the fourth intercostal space midclavicular line, the mitral valve area.
Question 3 of 5
The nurse is caring for a client with a history of liver cirrhosis who is admitted with ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: furosemide is a diuretic used to reduce ascites in liver cirrhosis
Question 4 of 5
When providing care for a client with pancreatitis, the nurse would anticipate which of the following orders?
Correct Answer: B
Rationale: Pancreatitis often requires an NG tube with suction to reduce gastric secretions and pancreatic stimulation, aiding in symptom management.
Question 5 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.