NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of atrial fibrillation. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Dizziness and syncope in atrial fibrillation suggest hemodynamic instability, possibly from rapid ventricular response, requiring immediate intervention. Mild tachycardia, normal BP, and saturation are less urgent.
Question 2 of 5
The nurse is teaching a client with a history of psoriasis about skin care. The nurse should tell the client to:
Correct Answer: A
Rationale: Moisturizing the skin helps reduce dryness and scaling in psoriasis, improving skin barrier function and comfort.
Question 3 of 5
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:
Correct Answer: D
Rationale: Keeping the leg straight for 8-12 hours minimizes bleeding risk at the arterial puncture site after coronary arteriography.
Question 4 of 5
Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast. She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is most essential during the first 24 hours after surgery and cast application?
Correct Answer: D
Rationale: Neurovascular status of the extremity is of primary importance. The risk of circulatory impairment exists with any cast application, especially with fractures near the elbow.
Question 5 of 5
The nurse is caring for a client with a history of a pulmonary embolism. The client is receiving Heparin. The nurse should monitor the client for:
Correct Answer: A
Rationale: Heparin, an anticoagulant, increases bleeding risk, including bleeding gums. Hypertension, tachypnea, and fever are not directly related to heparin therapy.