NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for a 9-year-old child admitted with asthma. Upon the morning rounds, the nurse finds an O2 sat of 78%. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: An O2 sat of 78% indicates severe hypoxemia, so applying oxygen is the first action to stabilize the child.
Question 2 of 5
The nurse is caring for a homeless client diagnosed with right-sided heart failure. The nurse anticipates that upon discharge the client will need assistance regarding medications, locating a shelter, and follow-up to ensure that the client can obtain transportation to the next appointment with the cardiologist. The nurse understands that this is an example of which content area of care management?
Correct Answer: D
Rationale: Arranging post-discharge support for medications, shelter, and follow-up ensures continuity of care for a vulnerable client.
Question 3 of 5
A 19-year-old male was prescribed sertraline (Zoloft) 3 weeks ago for depression. He calls the clinic today and tells the nurse that he has been feeling increasingly anxious and wants to stop taking the medication because it is not working. The best response for the nurse is
Correct Answer: B
Rationale: Increased anxiety is a common early side effect of SSRIs like sertraline, which typically subsides after a few weeks. The therapeutic effect takes 4-6 weeks. Continuing the medication and monitoring is appropriate.
Question 4 of 5
A 13-year-old female has been diagnosed with celiac disease. Which of the following dinner trays would be acceptable?
Correct Answer: A
Rationale: Celiac disease requires a gluten-free diet. Option A (chicken, carrots, potato) is gluten-free, while others contain gluten (wheat bread, spaghetti, flour tortillas).
Question 5 of 5
The nurse gives a 35-year-old primigravida client a RhoGAM injection in her 27th week of pregnancy. Which of the following client situations requires the nurse to take this action?
Correct Answer: A
Rationale: RhoGAM is given to an Rh-negative mother with an Rh-positive father to prevent Rh incompatibility issues in the fetus.