NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is calculating the Apgar score for a newborn. Findings are as follows: Heart rate: 110, Respiratory effort: good cry, Muscle tone: some flexion of extremities, Reflex irritability: grimace, Color: completely pink. What is the Apgar score for this neonate?
Correct Answer: C
Rationale: Heart rate 110 (2), good cry (2), some flexion (1), grimace (1), pink (2) = 9.
Question 2 of 5
The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?
Correct Answer: A
Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion reduces further overload while maintaining access. Stopping it entirely or documenting only delays intervention.
Question 3 of 5
A client diagnosed with tuberculosis asks the nurse when he can return to work. The nurse should tell the client that:
Correct Answer: A
Rationale: Three negative sputum cultures indicate the client is no longer contagious, allowing safe return to work after tuberculosis treatment.
Question 4 of 5
A patient is rushed to the emergency room after being found unconscious at home. His blood pressure is 70/35. The nurse anticipates an order for what medication?
Correct Answer: E
Rationale: For severe hypotension (BP 70/35), vasopressors like norepinephrine or dopamine are typically ordered to restore perfusion, but none of the listed options are vasopressors. The question may be flawed.
Question 5 of 5
A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
Correct Answer: D
Rationale: Raw fruits and vegetables may harbor pathogens, increasing infection risk in immunocompromised clients with HIV.