NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of metoprolol (Lopressor) to a client with hypertension. The client’s heart rate is 58 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: metoprolol is a beta-blocker, and a heart rate of 58 beats per minute is below the threshold for administration, requiring physician notification
Question 2 of 5
The nurse is in the medication room drawing up insulin for a client when a code blue is called. In his haste to respond to the call, the nurse places the syringe of insulin on the counter and responds to the code. Afterward, the nurse returns to the medication room and retrieves the syringe of insulin. Which action by the nurse is correct?
Correct Answer: C
Rationale: The syringe was left unattended, risking contamination or mix-up, so it should be disposed of in the sharps container, and a new dose drawn up to ensure safety.
Question 3 of 5
When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:
Correct Answer: D
Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers should detect active fetal movement as the fetus is well-developed and mobile.
Question 4 of 5
The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?
Correct Answer: B
Rationale: A barium enema is contraindicated in acute diverticulitis due to the risk of perforation and peritonitis.
Question 5 of 5
A client arrives in the emergency room after a motor vehicle accident. Witnesses tell the nurse that they observed the client's head hit the side of the car door. Nursing assessment findings include BP 70/34, heart rate 130, and respirations 22. Which is the client's most appropriate priority nursing diagnosis?
Correct Answer: B
Rationale: Hypotension (BP 70/34) and tachycardia (HR 130) indicate hypovolemic shock, likely from blood loss. Fluid volume deficit is the priority diagnosis to address life-threatening hypovolemia.