Questions 150

NCLEX-RN

NCLEX-RN Test Bank

RN NCLEX Next Gen Questions Questions

Extract:


Question 1 of 5

The nurse is assessing a client who has had a myocardial infarction. The nurse notes the cardiac rhythm shown below (see figure). The nurse identifies this rhythm as:

Correct Answer: C

Rationale: Premature ventricular contractions (PVCs) are characterized by early, wide QRS complexes on an ECG, common post-myocardial infarction. The other rhythms have distinct ECG patterns not described here.

Question 2 of 5

A client is experiencing symptoms of early alcohol withdrawal. The client's blood pressure is 150/85 mm Hg and the pulse is 98 bpm. The nurse should:

Correct Answer: D

Rationale: Notifying the physician is the priority to obtain orders for managing alcohol withdrawal symptoms, which may require medications like lorazepam.

Question 3 of 5

A client has been prescribed digoxin (Lanoxin). Which of the following symptoms should the nurse tell the client to report as a potential indication of digoxin toxicity?

Correct Answer: C

Rationale: Visual disturbances, such as blurred or yellow vision, are classic signs of digoxin toxicity, requiring immediate reporting.

Question 4 of 5

Which of the following data points about your client's hemodynamic values would you report to the doctor as abnormal?

Correct Answer: B

Rationale: Normal ranges are: PAS 15-30 mmHg, PAWP 4-12 mmHg, PAD 4-12 mmHg, CVP 2-6 mmHg. PAWP of 22 mmHg is elevated, indicating potential left ventricular dysfunction or fluid overload.

Question 5 of 5

A primigravid client at 38 weeks' gestation reports decreased fetal movement. What is the nurse's first action?

Correct Answer: D

Rationale: Auscultating fetal heart tones is the first step to assess fetal well-being in response to decreased movement, providing immediate data.

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