Questions 150

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Exam Practice Questions Questions

Extract:


Question 1 of 5

The nurse is assessing a client with a suspected pulmonary embolism. Which of the following symptoms is most likely to be present?

Correct Answer: B

Rationale: Sudden chest pain is a common symptom of pulmonary embolism due to impaired blood flow to the lungs.

Question 2 of 5

A client is very dependent on the staff but is able to make simple decisions. The client asks, 'Would you do my laundry? I don't know how the machine works.' Which of the following responses would be best?

Correct Answer: D

Rationale: Teaching the client to use the machine promotes independence while addressing their request.

Question 3 of 5

The nurse is assessing a client with suspected Bell's palsy. Which finding supports this diagnosis?

Correct Answer: A

Rationale: Unilateral facial weakness is the primary symptom of Bell's palsy, caused by facial nerve inflammation or compression.

Question 4 of 5

The nurse is conducting walking rounds and observes the client (see figure). The nurse should do which of the following?

Question Image

Correct Answer: C

Rationale: The nurse should fi rst determine why the client wants to sit up, and then, if needed delegate someone to assist the client. Loosening the restraints will not keep the client safe in bed. Raising theside rails and elevating the head of the bed do not address the client’s needs.

Question 5 of 5

You are working as a wound care nurse. You measure the size of a client's wound and it is 3 cm deep, 2 cm long and 4 cm wide. You would document the dimension of this wound as:

Correct Answer: B

Rationale: Wound dimensions are documented as length x width x depth (2 cm x 4 cm x 3 cm), but the total linear measurement is not typically summed. However, based on the options, 12 cm may reflect a misinterpretation; the correct documentation is the individual measurements.

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