NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an infant admitted from the delivery room. Which finding should be reported?
Correct Answer: D
Rationale: Absent femoral pulses suggest coarctation of the aorta, a critical condition.
Question 2 of 5
The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates the client understands his new diet?
Correct Answer: C
Rationale: Oatmeal, apple juice, and dry toast are low in sodium and saturated fat, aligning with a DASH diet for hypertension management.
Question 3 of 5
A client with deep vein thrombosis is receiving a continuous heparin infusion and Coumadin PO. INR lab test result is 8.0. Which intervention would be most important to include in the nursing care plan?
Correct Answer: A
Rationale: An INR of 8.0 is dangerously high, indicating a risk of bleeding. Assessing for abnormal bleeding is the priority to detect and manage potential complications.
Question 4 of 5
When drawing up a dosage of subcutaneous heparin, how much air should be drawn into the syringe after the correct dosage is obtained?
Correct Answer: C
Rationale: An air lock of 0.2-0.3 mL (
C) is used in subcutaneous heparin injections to ensure the full dose is delivered and to prevent leakage.
Question 5 of 5
A client is 4 hours post-op left carotid endarterectomy. Which assessment finding would cause the nurse the most concern?
Correct Answer: C
Rationale: Right-sided weakness post-left carotid endarterectomy suggests a neurological deficit, possibly from stroke or hematoma, requiring immediate intervention.