NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse's action should be to:
Correct Answer: B
Rationale: Hypotension and unresponsiveness suggest hypovolemia or shock, so increasing the normal saline infusion is the initial action to restore volume.
Question 2 of 5
The nurse is assessing a client with suspected hypoparathyroidism. Which of the following findings would the nurse expect?
Correct Answer: A
Rationale: muscle cramps and tetany are signs of hypoparathyroidism due to hypocalcemia
Question 3 of 5
The nurse is caring for a cognitively impaired client who begins to pull at the tape securing his IV site. To prevent the client from removing the IV, the nurse should:
Correct Answer: A
Rationale: Securing the IV with tape out of the client's vision minimizes tampering while avoiding restraints or inappropriate actions.
Question 4 of 5
A 19-year-old male has been experiencing vomiting and diarrhea for 3 days due to food poisoning. The nurse expects a urine specific gravity of
Correct Answer: D
Rationale: Dehydration from vomiting and diarrhea increases urine specific gravity (normal 1.005-1.030). 1.041 indicates concentrated urine due to fluid loss.
Question 5 of 5
A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?
Correct Answer: A
Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.