NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client after a laryngectomy. The client is anxious, with a respiratory rate of 32 and an oxygen saturation of 88. The nurse's first action should be to:
Correct Answer: B
Rationale: Low oxygen saturation (88%) and high respiratory rate indicate hypoxemia. Increasing oxygen flow rate is the fastest way to improve oxygenation. Suctioning may be needed later, but oxygen is the priority.
Question 2 of 5
The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?
Correct Answer: C
Rationale: A detailed suicide plan indicates high risk. Assigning a sitter despite refusal ensures safety, as patient consent is secondary to preventing harm.
Question 3 of 5
An elderly client is diagnosed with interstitial cystitis. Which finding differentiates interstitial cystitis from other forms of cystitis?
Correct Answer: B
Rationale: Interstitial cystitis is characterized by chronic pelvic pain and urinary symptoms with sterile urine, as it is not caused by bacterial infection, unlike other forms of cystitis.
Question 4 of 5
A 62-year-old female comes to the clinic with the complaint that her vision seems cloudy. What other signs and symptoms may the client mention that are suggestive of cataracts? Select all that apply.
Correct Answer: C,E
Rationale: Cataracts cause cloudy vision, difficulty with night vision, and halos around lights. Diplopia, nausea, or eye pain are not typical.
Question 5 of 5
The nurse is caring for a client with COPD. Which of the associated disorders has changes that are reversible?
Correct Answer: C
Rationale: Asthma is characterized by reversible airway obstruction, unlike bronchiectasis, emphysema, and chronic bronchitis, which involve permanent structural changes.