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 identifies ventricular tachycardia on the heart monitor. The nurse should immediately:
Correct Answer: C
Rationale: Ventricular tachycardia requires immediate treatment with an antiarrhythmic like lidocaine to restore normal rhythm.
Question 3 of 5
The nurse is caring for a client with diabetes mellitus, type 1. Which of the following signs and symptoms are indicative of diabetic ketoacidosis? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Diabetic ketoacidosis (DK
A) is characterized by polyuria (
B), hyperventilation (C, Kussmaul respirations), polydipsia (
D), and abdominal pain (F) due to hyperglycemia and acidosis. Increased appetite (
A) and hypertension (E) are not typical DKA symptoms.
Question 4 of 5
The nurse is caring for a client in intensive care with a diagnosis of traumatic brain injury. The client is found to be restless, complains of extreme nausea, and is weak on the left arm and leg. Which is the best response by the nurse?
Correct Answer: B
Rationale: Elevating the head to 30 degrees reduces intracranial pressure in traumatic brain injury, addressing symptoms like nausea and restlessness.
Question 5 of 5
The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?
Correct Answer: B
Rationale: Adding baby oil to bath water moisturizes the skin, reducing pruritis in hepatitis clients, unlike warm showers or powder, which may worsen dryness.