NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?
Correct Answer: C
Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.
Question 2 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.
Question 3 of 5
A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:
Correct Answer: B
Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.
Question 4 of 5
When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:
Correct Answer: B
Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.
Question 5 of 5
The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?
Correct Answer: C
Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.