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 teaching a client with chronic kidney disease about dietary restrictions. Which of the following foods should the client limit to prevent hyperkalemia?
Correct Answer: B
Rationale: potatoes are high in potassium, which should be limited in chronic kidney disease to prevent hyperkalemia
Question 3 of 5
The nurse cares for two children brought into an emergency shelter. Law enforcement suspects the children have been neglected. The nurse should assess
Correct Answer: C
Rationale: Height and weight assess for failure to thrive, a key indicator of neglect. Bruises on knees/elbows are common in children and less specific.
Question 4 of 5
A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 88%. The nurse's first intervention is to
Correct Answer: B
Rationale: Hypoxemia (SpO2 88%) requires immediate oxygen administration to improve oxygenation, which is the priority for chest pain before further assessment or intervention.
Question 5 of 5
A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:
Correct Answer: C
Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.