NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.
Question 2 of 5
A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:
Correct Answer: B
Rationale: Abrupt cessation of barbiturates can cause withdrawal symptoms like tachycardia and diarrhea due to central nervous system hyperactivity.
Question 3 of 5
The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?
Correct Answer: C
Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.
Question 4 of 5
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct Answer: B
Rationale: Sternal bruises suggest potential chest trauma, requiring priority.
Question 5 of 5
The nurse’s INITIAL priority when managing a physically assaultive client is to
Correct Answer: C
Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client