NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 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 2 of 5
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Correct Answer: C
Rationale: Buck's traction is used to immobilize a fractured femur, reduce pain, and prevent further injury until surgical intervention.
Question 3 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 4 of 5
The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.
Question 5 of 5
The nurse is reviewing labs for a client whose potassium level is 5.3 mEq/L. Which order should the nurse anticipate from the health care provider?
Correct Answer: D
Rationale: A potassium level of 5.3 mEq/L indicates mild hyperkalemia, and Kayexalate may be ordered to lower it. K-Dur would worsen the condition.