NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The nurse is caring for clients on a respiratory unit. Upon receiving the following client reports, which client should be seen first?
Correct Answer: C
Rationale: Edema and neck vein distention in a bronchitis client suggest heart failure, a critical condition requiring immediate assessment. The other clients are stable or less urgent.
Question 2 of 5
The nurse is caring for a client following a crushing injury to the chest. Which finding would be most indicative of a tension pneumothorax?
Correct Answer: B
Rationale: Tension pneumothorax causes a mediastinal shift, including tracheal deviation toward the unaffected side due to increased intrathoracic pressure.
Question 3 of 5
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?
Correct Answer: B
Rationale: Hydration is the highest priority in sickle cell crisis to prevent further sickling of red blood cells and to promote blood flow, reducing the risk of complications.
Question 4 of 5
A client who has undergone a thyroidectomy complains of numbness, tingling, and stiffness in her hands, feet, and face as well as muscle tremors, spasmodic muscle contractions, and anxiety during the postoperative period. Which laboratory tests does the nurse anticipate that the physician will request?
Correct Answer: D
Rationale: Numbness, tingling, and muscle spasms post-thyroidectomy suggest hypocalcemia due to parathyroid gland disruption. The physician will likely request a calcium level test (
D). Hemoglobin (
A), sodium (
B), and TSH (
C) are not directly related to these symptoms.
Question 5 of 5
The nurse is caring for a client taking levothyroxine (Synthroid) for hypothyroidism. Which finding indicates a side effect of this medication?
Correct Answer: A
Rationale: Weight loss can indicate excessive levothyroxine dosing, as it increases metabolism, unlike the other options, which are not typical side effects.