NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?
Correct Answer: C
Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.
Question 2 of 5
The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?
Correct Answer: B
Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.
Question 3 of 5
The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
Correct Answer: C
Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.
Question 4 of 5
The family of a hospice client wishes to visit at midnight. Which of the following actions by the nurse would be the most appropriate?
Correct Answer: D
Rationale: In hospice care, allowing family visits at any time supports the client’s and family’s emotional needs, especially near end-of-life.
Question 5 of 5
The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
Correct Answer: B
Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.