NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to teach a client about phenytoin sodium (Dilantin). Which fact would be most important to teach the client regarding why the drug should not be stopped suddenly?
Correct Answer: B
Rationale: Abruptly stopping phenytoin can precipitate status epilepticus, a life-threatening condition, due to loss of seizure control.
Question 2 of 5
The nurse is caring for an elderly female client in an extended care facility who has dry age-related macular degeneration (AMD). Which nursing intervention would be the most appropriate?
Correct Answer: B
Rationale: Standing in front of the client maximizes her ability to see the nurse, as dry AMD affects central vision, making clear visual communication essential.
Question 3 of 5
A postoperative client whose oxygen saturation has been stable at 96% to 98% suddenly shows a drop to 80%. What initial response is most indicated?
Correct Answer: C
Rationale: Assessing and repositioning the pulse oximeter (
C) checks for false readings first. Oxygen (
B), notifying physician (
A), or ABGs (
D) follow if needed.
Question 4 of 5
The nurse recognizes which of the following as the priority nursing diagnosis for the client in thyroid crisis?
Correct Answer: B
Rationale: Thyroid crisis (thyroid storm) causes hyperthermia, making imbalanced body temperature the priority due to the risk of life-threatening hypermetabolic complications.
Question 5 of 5
A client is recovering from a stroke and the nurse is doing range-of-motion exercises. Which movements should be included for ROM of the elbow on the weak side? Select all that apply.
Correct Answer: C,D
Rationale: Elbow ROM includes supination/pronation (
C) and flexion/extension (
D). Abduction/adduction (
A), hyperextension (
B), and rotation (E) are not applicable to the elbow joint.