NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for a client scheduled for a surgical repair of an abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to establish a baseline for vascular status, as an abdominal aortic aneurysm repair can affect blood flow to the extremities, and postoperative complications may include vascular occlusion.
Question 2 of 5
A client's wife states that her elderly husband has begun to slightly slur his words and drop word endings, he has become increasingly withdrawn socially, and he is irritable, accusing her of talking behind his back and whispering at him. The nurse suspects that the client should be initially evaluated for which of the following?
Correct Answer: C
Rationale: Slurred speech, social withdrawal, and irritability with accusations of whispering suggest hearing loss (
C), which can cause communication difficulties and paranoia. Depression (
A), Alzheimer's (
B), and stroke (
D) are less likely to present with this specific combination.
Question 3 of 5
The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:
Correct Answer: C
Rationale: A permanent pacemaker is a contraindication for an MRI due to the risk of device malfunction in a magnetic field.
Question 4 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 5 of 5
The nurse is teaching the mother of an infant with eczema. Which of the following instructions should be included in the nurse's teaching?
Correct Answer: B
Rationale: Cutting nails regularly prevents scratching, which can worsen eczema and lead to infections in affected skin areas.