NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing the client for surgery. The pre-op medication includes atropine sulfate 0.4 mg, meperidine (Demerol HCl) 50 mg, and promethazine hydrochloride (Phenergan) 25 mg IM. Which action should the nurse do first?
Correct Answer: A
Rationale: Ensuring the surgical permit is signed is the priority to confirm informed consent before administering preoperative medications.
Question 2 of 5
The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:
Correct Answer: C
Rationale: The earlobe is a suitable site for pulse oximetry in peripheral vascular disease, as it is less affected by impaired peripheral circulation.
Question 3 of 5
The nurse is reviewing the lab results of a client's arterial blood gases. The $\mathrm{PaCO}_2$ indicates effective functioning of the:
Correct Answer: C
Rationale: PaCO2 reflects lung function, as the lungs regulate carbon dioxide levels through ventilation; abnormal levels indicate respiratory issues.
Question 4 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 5 of 5
All of the following are examples of secondary disease prevention EXCEPT
Correct Answer: A
Rationale: Secondary prevention detects/treats disease early (mammograms, syphilis testing, exercise post-MI). Support groups (
A) are tertiary, aiding coping with existing disease.