NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease). The nurse should give priority to:
Correct Answer: A
Rationale: Respiratory muscle weakness in ALS can lead to respiratory failure, making respiratory status assessment the priority.
Question 2 of 5
The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?
Correct Answer: C
Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.
Question 3 of 5
A client with a stroke and malnutrition has been placed on Total Parenteral Nutrition (TPN). The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: Air embolism requires placing the client in the left lateral decubitus position with the head down to trap air in the right atrium, preventing further embolization. This is the priority action.
Question 4 of 5
A nurse receives an order to dilute ceftriaxone sodium powder in a vial prior to administration. The nurse should ensure the powder is fully diluted by
Correct Answer: B
Rationale: Rolling the vial between the palms gently mixes the powder with the diluent, ensuring full dilution without creating air bubbles or denaturing the medication.
Question 5 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.