NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is monitoring a client's cardiac rhythm when an abnormal rhythm occurs. Which of the following cardiac rhythms does the ECG strip (see image) indicate?
Correct Answer: B
Rationale: Without the ECG strip, ventricular tachycardia (
B) is a common abnormal rhythm requiring urgent intervention, characterized by wide QRS complexes. Other rhythms (A, C,
D) have distinct patterns.
Question 2 of 5
The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care the nurse should:
Correct Answer: D
Rationale: Dilantin can cause gingival hyperplasia, so oral hygiene and gum care are essential to prevent complications.
Question 3 of 5
A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
Correct Answer: B
Rationale: A papular lesion on the perineum during labor could indicate an infectious process (e.g., herpes), so reporting it to the doctor is the most appropriate initial action.
Question 4 of 5
The nurse is caring for a client receiving pantoprazole. The nurse understands that long-term use of proton pump inhibitors increases the risk of which serious side effects? Select all that apply.
Correct Answer: D,E
Rationale: Long-term PPI use increases the risk of rhabdomyolysis and long bone fractures due to nutrient malabsorption and muscle damage. Nausea, depression, and constipation are less associated.
Question 5 of 5
A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?
Correct Answer: C
Rationale: The ABCs of trauma care prioritize airway, breathing, and circulation. Establishing an airway comes first, followed by controlling hemorrhage and preventing shock, then assessing for head injuries.